Active NPI
Michael David Levy, DMD
- Dentist
- Wynnewood, PA
National Provider Identifier
1972811867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS026541L
- Practice address
- 333 E Lancaster Ave
Ste 363
Wynnewood, PA 19096-1929 - Phone
- (877) 227-9892
- Fax
- (623) 321-6268
- NPI assigned
- Sep 14, 2010
- Last updated
- Dec 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS026541L | PA | Primary |
Addresses
Primary practice location
333 E Lancaster Ave
Ste 363
Wynnewood, PA 19096-1929
Mailing address
2550 W Union Hills Dr
Suite 202
Phoenix, AZ 85027-5163
Phone (877) 227-9892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS026541L | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323734400000",
"number": "1972811867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 W UNION HILLS DR",
"address_2": "SUITE 202",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850275163",
"telephone_number": "877-227-9892",
"fax_number": "623-321-6268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 E LANCASTER AVE",
"address_2": "STE 363",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190961929",
"telephone_number": "877-227-9892",
"fax_number": "623-321-6268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-14",
"last_updated": "2011-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS026541L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.