Organization Active NPI

Michael Levy DDS PC

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1902963291
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2246 ARIZONA DENTIST Issued in AZ
Legal business name
MICHAEL LEVY DDS PC
Practice address
59 E Lexington
Phoenix, AZ 85012
Phone
(602) 274-9242
Fax
(602) 274-3433
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

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

Authorized official

Name
Dr. Michael I Levy, DDS
Title
Dentist Owner President
Phone
(602) 274-9242

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 2246 ARIZONA DENTIST AZ Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 00712 COLORADO DENTI CO
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 8098 MINNESOTA DENTI MN

Addresses

Primary practice location

59 E Lexington
Phoenix, AZ 85012

Mailing address

59 E Lexington
Phoenix, AZ 85012
Phone (602) 274-9242

Other names 1

  • Dentist PC Corp Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1902963291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 E LEXINGTON",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85012",
            "telephone_number": "602-274-9242",
            "fax_number": "602-274-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 E LEXINGTON",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85012",
            "telephone_number": "602-274-9242",
            "fax_number": "602-274-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL LEVY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DENTIST OWNER PRESIDENT",
        "authorized_official_telephone_number": "602-274-9242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "2246 ARIZONA DENTIST",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "00712 COLORADO DENTI",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "8098 MINNESOTA DENTI",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentist PC Corp",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.