Individual provider Active NPI

Mark L Levy, DDS

  • General Practice Dentistry
  • Columbus, OH
National Provider Identifier
1962553610
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-016150 Issued in OH
Practice address
1335 Dublin Rd Ste 100B
Columbus, OH 43215-1000
Phone
(147) 777-3506
Fax
(888) 390-0424
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30-016150 OH Primary

Addresses

Primary practice location

1335 Dublin Rd Ste 100B
Columbus, OH 43215-1000

Mailing address

1335 Dublin Rd Ste 100B
Columbus, OH 43215-1000
Phone (614) 777-7350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071205000605 OH Practitioner - Oral Surgery 5294824744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Ohio State University College of Dentistry, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1335 Dublin Rd
Columbus, OH 43215-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-016150OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Levy DDS Inc CurrentSince Apr 1, 2015 Accepting new patients
Mark Levy DDS Inc General Practice CurrentSince Jan 1, 2014 Accepting new patients
Conkey Moberger Patel Dentistry Partnership LLC General Practice Past Accepting new patients

Locations

1335 Dublin Rd
Ste 100B
Columbus, OH 43215
Phone (614) 777-7350

1925 Hilliard Rome Rd
Hilliard, OH 43026
Phone (614) 777-7350

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1962553610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 DUBLIN RD STE 100B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151000",
            "telephone_number": "614-777-7350",
            "fax_number": "800-390-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 DUBLIN RD STE 100B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151000",
            "telephone_number": "147-777-3506",
            "fax_number": "888-390-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "MARK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-016150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.