Michael D. Levy, D.M.D., P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

DS026541L Issued in PA

Legal business name

MICHAEL D. LEVY, D.M.D., P.C.

Practice address

704 South Broad Street
Lansdale, PA 19446-5242

Phone

(215) 855-0708

Fax

(215) 855-8901

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer B Homacki

Title

Office Manager

Phone

(215) 855-0707

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1790888105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 S BROAD ST STE 1",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465242",
            "telephone_number": "215-855-0707",
            "fax_number": "215-855-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 SOUTH BROAD STREET",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465242",
            "telephone_number": "215-855-0708",
            "fax_number": "215-855-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. LEVY, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "HOMACKI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-855-0707"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS026541L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.