Laurence Jay Levine, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

S4-113C Issued in NV

Practice address

2610 W Horizon Ridge Pkwy Ste 202
Henderson, NV 89052-2870

Phone

(702) 270-4600

Fax

(702) 270-7773

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Anthem Periodontics and Dental Implants

  • Periodontics
  • Henderson, NV
  • NPI 1861942625
  NPD (past)
• Ed Deandrade DDS, LTD.

  • Periodontics
  • Henderson, NV
  • NPI 1144331588
  NPD (past)
• Sage Dental of Boca Raton, PLLC

  • General Practice Dentistry
  • Boca Raton, FL
  • NPI 1609072255
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1740391465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 CASSATT DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745065",
            "telephone_number": "954-849-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 W HORIZON RIDGE PKWY STE 202",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522870",
            "telephone_number": "702-270-4600",
            "fax_number": "702-270-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "LAURENCE",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN4783",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NV",
            "license": "S4-113C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Leung
• Holly Leventry
• Arthur B Levin, OD
• Debra Levin, RPH
• Michael L. Levin, M.D.
• Brett Douglas Levinson, PA-C
• Jeffrey M Levisman, M.D.
• Simja Yoel Levy, PA-C
• Lewis Health Solutions Inc.
• Lewis Therapy and Wellness Dba Veridian Wellness

• Periodontics in Henderson, NV
• Providers in Henderson, NV by specialty
• Periodontics in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.