Active NPI
Adam Michael Levine, D.M.D.
- General Practice Dentistry
- Pennsburg, PA
National Provider Identifier
1043693419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS040299
- Practice address
- 101 W 7TH St Ste 2F
Pennsburg, PA 18073-1512 - Phone
- (215) 679-3167
- NPI assigned
- Jul 3, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02607000 | NJ | |
| General Practice Dentistry | 1223G0001X | DS040299 | PA | Primary |
Addresses
Primary practice location
101 W 7TH St Ste 2F
Pennsburg, PA 18073-1512
Mailing address
101 W 7TH St Ste 2F
Pennsburg, PA 18073-1512
Phone (215) 679-3167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170314000138 | PA | Order and Referring Only - Other (Physician) | 4789969791 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02607000 | NJ | MD | General Practice Dentistry |
| DS040299 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adam M Levine DMD PLLC | Current | Accepting new patients |
Locations
101 W 7th St
Ste 2F
Pennsburg, PA 18073
Phone (215) 679-3167
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Pennsburg, PA
- NPI 1013614411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1043693419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W 7TH ST STE 2F",
"city": "PENNSBURG",
"state": "PA",
"postal_code": "180731512",
"telephone_number": "215-679-3167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W 7TH ST STE 2F",
"city": "PENNSBURG",
"state": "PA",
"postal_code": "180731512",
"telephone_number": "215-679-3167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "ADAM",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-03",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02607000",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS040299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pennsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.