Levy T DO, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28984 Issued in TX

Practice address

1560 E Debbie LN Ste 108
Mansfield, TX 76063-8575

Phone

(817) 453-8520

NPI assigned

Jul 14, 2011

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeast Dallas Dental Associates, PLLC

  dba Pine Cove Dental

  • General Practice Dentistry
  • Mansfield, TX
  • NPI 1932566213
  NPD (past) Authorized official

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1982992723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E DEBBIE LN STE 108",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638575",
            "telephone_number": "817-453-8520",
            "fax_number": "817-453-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 E DEBBIE LN STE 108",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638575",
            "telephone_number": "817-453-8520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1560 E Debbie Ln Ste 108",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760638575",
            "country_code": "US",
            "telephone_number": "817-453-8520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4637 Hedgcoxe Rd",
            "address_2": "Suite 112",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750243962",
            "country_code": "US",
            "telephone_number": "972-377-8866",
            "fax_number": "972-377-8870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DO",
        "first_name": "LEVY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200346140A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Mansfield, TX
• Providers in Mansfield, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.