Active NPI
Scott Eric Levy, D.D.S.
- Endodontics
- Media, PA
National Provider Identifier
1649460718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DS039637
- Practice address
- 1215 W Baltimore Pike Ste 9
Media, PA 19063-5540 - Phone
- (484) 444-2664
- NPI assigned
- Jul 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DS039637 | PA | Primary |
Addresses
Primary practice location
1215 W Baltimore Pike Ste 9
Media, PA 19063-5540
Mailing address
616 Frederick Rd
Catonsville, MD 21228-4625
Phone (410) 747-1115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS039637 | PA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1649460718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 FREDERICK RD",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212284625",
"telephone_number": "410-747-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 W BALTIMORE PIKE STE 9",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635540",
"telephone_number": "484-444-2664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "SCOTT",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "PA",
"license": "DS039637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.