Active NPI
Jeffrey A Levicky, D.M.D
- Dentist
- La Belle, PA
National Provider Identifier
1831123439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS027828L
- Practice address
- 50 Overlook Dr
La Belle, PA 15450-1050 - Phone
- (724) 364-2200
- Fax
- (724) 364-9901
- NPI assigned
- Jul 10, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS027828L | PA | Primary |
Addresses
Primary practice location
50 Overlook Dr
La Belle, PA 15450-1050
Mailing address
50 Overlook Dr
La Belle, PA 15450-1050
Phone (724) 364-2200
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 |
|---|---|---|---|
| DS027828L | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sylva Medical Practice, PLLC | 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.
-
- Community Health Clinic/Center
- Waynesburg, PA
- NPI 1831801992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1831123439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 OVERLOOK DR",
"city": "LA BELLE",
"state": "PA",
"postal_code": "154501050",
"telephone_number": "724-364-2200",
"fax_number": "724-364-9901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 OVERLOOK DR",
"city": "LA BELLE",
"state": "PA",
"postal_code": "154501050",
"telephone_number": "724-364-2200",
"fax_number": "724-364-9901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVICKY",
"first_name": "JEFFREY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS027828L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Belle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.