Individual provider Active NPI

Charles King Levin, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Purchase, NY
National Provider Identifier
1043775083
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
063253 Issued in NY
Practice address
3010 Westchester Ave Ste 306
Purchase, NY 10577-2524
Phone
(914) 253-9088
NPI assigned
Feb 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 063253 NY Primary

Addresses

Primary practice location

3010 Westchester Ave Ste 306
Purchase, NY 10577-2524

Mailing address

3010 Westchester Ave Ste 306
Purchase, NY 10577-2524
Phone (914) 253-9088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240621002004 NY Practitioner - Oral SurgeryPractitioner - Maxillofacial SurgeryPractitioner - Dentist 4385187004 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Aug 19, 2024 Accepting new patients
Weill Medical College of Cornell CurrentSince Aug 19, 2024 Accepting new patients
Greenwich Oral and Maxillofacial Surgery Associates, P.C. Oral and Maxillofacial Surgery PastSince Oct 1, 2023 Accepting new patients

Locations

50 E 69th St
New York, NY 10021
Phone (212) 570-4000

Interoperability endpoints

  • Direct secure messaging: ckl7001@direct.nyp.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1043775083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 WESTCHESTER AVE STE 306",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772524",
            "telephone_number": "914-253-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 WESTCHESTER AVE STE 306",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772524",
            "telephone_number": "914-253-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "CHARLES",
        "middle_name": "KING",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-04",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "063253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purchase, NY

Sources for this page

Verify at the official NPI Registry.