Victor Khlevnoy, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DM25660 Issued in FL

Practice address

3900 Clark Rd BLDG Q
Sarasota, FL 34233-2382

Phone

(941) 231-8121

Fax

(941) 321-8122

NPI assigned

Jul 15, 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.

• Powell Family Dental

  • General Practice Dentistry
  • Portland, OR
  • NPI 1023339199
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1881610285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD BLDG Q",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332382",
            "telephone_number": "503-788-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD BLDG Q",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332382",
            "telephone_number": "941-231-8121",
            "fax_number": "941-321-8122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11050 SE Powell Blvd Ste 378",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972661863",
            "country_code": "US",
            "telephone_number": "503-788-0405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHLEVNOY",
        "first_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7062",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DM25660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malisa Khamphouy, SLP
• Duane Glen Khan, PH.D.
• Sana Khan
• Poh S Khaw, MD
• Davender S Khera, M.D.
• Suhail Adib Khoury, MD
• Kiang Eye Center Inc
• Elena Kiang, MD
• Chelsea Kidd, P.A.
• Kiefer Corporation

• General Practice Dentistry in Sarasota, FL
• Providers in Sarasota, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.