Individual provider Active NPI

Scott Levison, DMD

  • Dentist
  • Lake Oswego, OR
National Provider Identifier
1730171992
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D7080 Issued in OR
Practice address
9 Monroe Pkwy
Suite 130
Lake Oswego, OR 97035-1495
Phone
(503) 699-1809
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D7080 OR Primary

Addresses

Primary practice location

9 Monroe Pkwy
Suite 130
Lake Oswego, OR 97035-1495

Mailing address

9 Monroe Pkwy
Suite 130
Lake Oswego, OR 97035-1495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20160125001840 OR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2365745395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Levison Dental Group PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1730171992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MONROE PKWY",
            "address_2": "SUITE 130",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970351495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MONROE PKWY",
            "address_2": "SUITE 130",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970351495",
            "telephone_number": "503-699-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVISON",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D7080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

Verify at the official NPI Registry.