Rory Scott Levitan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010204A Issued in IN

Practice address

948 S Court St
Crown Point, IN 46307-4848

Phone

(219) 662-7668

Fax

(219) 662-7828

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1720204902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 S COURT ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463074848",
            "telephone_number": "219-662-7668",
            "fax_number": "219-662-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 S COURT ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463074848",
            "telephone_number": "219-662-7668",
            "fax_number": "219-662-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVITAN",
        "first_name": "RORY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010204A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Leonakis, D.P.T., P.T.
• Leonard F. Anglis
• Amanda Renee Lesniak, RDN, LD
• Lester'S Place LLC
• Mary Anne Levander, P.T.
• Daniel Li, MD
• Shan Li
• Nicole Bianca San Juan Libiran
• George Librandi, DO
• Lice Clinics of America- Northwest Indiana

• All providers in Crown Point, IN
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.