R.E. Levi Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

29257 Issued in CA

Legal business name

R.E. LEVI DENTAL CORPORATION

Doing business as

DBA Lake Elsinore Dental Gp

Practice address

32235 Mission Trail # 8
Lake Elsinore, CA 92530

Phone

(951) 674-6808

Fax

(951) 674-2668

NPI assigned

Aug 3, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Roya E Levi, DDS

Title

Owner

Phone

(951) 677-7779

Specialties & licenses 1

Addresses

Other names 1

• DBA Lake Elsinore Dental Gp Doing business as

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501718400000",
    "number": "1952825648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32235 MISSION # 8",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "92530",
            "telephone_number": "951-674-6808",
            "fax_number": "951-674-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32235 MISSION TRAIL # 8",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "92530",
            "telephone_number": "951-674-6808",
            "fax_number": "951-674-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.E. LEVI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2017-08-03",
        "status": "A",
        "authorized_official_last_name": "LEVI",
        "authorized_official_first_name": "ROYA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-677-7779",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "29257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Lake Elsinore Dental Gp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; 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.