NPIMap

Organization Active NPI

Vitaly Levintov

  • Dental Clinic/Center
  • Land O' Lakes, FL
National Provider Identifier
1851844781
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
22210 Issued in FL
Legal business name
VITALY LEVINTOV
Practice address
3140 Shady Lily LN
Land O Lakes, FL 34638-8018
Phone
(813) 407-2068
NPI assigned
Jul 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Authorized official

Name
Dr. Vitaly G Levintov, DMDNPI 1609329994
Title
Dentist
Phone
(813) 407-2068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 22210 FL Primary

Addresses

Primary practice location

3140 Shady Lily LN
Land O Lakes, FL 34638-8018

Mailing address

33160 US 19 N
Palm Harbor, FL 34684-3127
Phone (813) 563-0872

National Provider Directory

National Provider Directory
Tax ID family
Univ of Fla Col of Dent20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

33160 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 324-6188

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1851844781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33160 US 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843127",
            "telephone_number": "813-563-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 SHADY LILY LN",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346388018",
            "telephone_number": "813-407-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALY LEVINTOV",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "LEVINTOV",
        "authorized_official_first_name": "VITALY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "813-407-2068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "22210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O' Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.