Individual provider Active NPI

Richard Steven Levine, DDS

  • Dentist
  • Jackson HTS, NY
National Provider Identifier
1003825779
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D38491 Issued in NY
Practice address
33-44 Junction Blvd
1W
Jackson HTS, NY 11372-2021
Phone
(718) 898-8648
Fax
(718) 898-8735
NPI assigned
Aug 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D38491 NY Primary

Addresses

Primary practice location

33-44 Junction Blvd
1W
Jackson HTS, NY 11372-2021

Mailing address

33-44 Junction Blvd
1W
Jackson HTS, NY 11372-2021
Phone (718) 898-8648

Other identifiers 1

IdentifierTypeStateIssuer
00857236MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038491NYMDSocial Worker
D38491NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003825779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33-44 JUNCTION BLVD",
            "address_2": "1W",
            "city": "JACKSON HTS",
            "state": "NY",
            "postal_code": "113722021",
            "telephone_number": "718-898-8648",
            "fax_number": "718-898-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33-44 JUNCTION BLVD",
            "address_2": "1W",
            "city": "JACKSON HTS",
            "state": "NY",
            "postal_code": "113722021",
            "telephone_number": "718-898-8648",
            "fax_number": "718-898-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "RICHARD",
        "middle_name": "STEVEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "D38491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00857236",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson HTS, NY

Sources for this page

Verify at the official NPI Registry.