Levi Upham, DDS
NPI 1174416564 · Dentist · Wilkes Barre, PA
Enrolled with Medicare as Practitioner - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Levi Upham, DDS is a Dentist provider in Wilkes Barre, PA (NPI 1174416564).
Provider details
- NPI number
- 1174416564
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DS044755 (PA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-06-02
- Last updated
- 2025-06-02
- Certified
- 2025-05-30
Frequently asked questions
- What is Levi Upham's NPI number?
- Levi Upham's National Provider Identifier (NPI) is 1174416564, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Levi Upham's specialty?
- Levi Upham is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Levi Upham located?
- Levi Upham's practice location on file with NPPES is 1111 E End Blvd, Wilkes Barre, PA 18711-0030.
- What is Levi Upham's phone number?
- The practice phone number listed in the NPPES registry for Levi Upham is (570) 824-3521.
- Does Levi Upham accept Medicare?
- Levi Upham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Levi Upham's NPI active?
- Yes — Levi Upham's NPI (1174416564) is active in the NPPES registry as of the last update on 2025-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.