Fred Jack Levin, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DS17799L Issued in PA

Practice address

131 Foxshire Dr
Lancaster, PA 17601-3983

Phone

(717) 569-6487

Fax

(717) 581-5487

NPI assigned

Sep 25, 2013

Last updated

Sep 25, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Fred J Levin DMD PC

  • Endodontics
  • Lancaster, PA
  • NPI 1942218854
  Authorized official Same address or phone

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1053747717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 FOXSHIRE DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176013983",
            "telephone_number": "717-569-6487",
            "fax_number": "717-581-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 FOXSHIRE DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176013983",
            "telephone_number": "717-569-6487",
            "fax_number": "717-581-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "FRED",
        "middle_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS17799L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Pui-Kuen Leung, PHARMACIST
• Jin Leung, PHARMD
• Stephanie D Lever, DPT
• Laura Levidy
• David P Levin, LPC
• Richard M Levin, M.D.
• Jeffery N Levine, DO
• Bret M Levy, MD PHD
• Karen F Lewis, CRNP
• Mary Theresa Ann Lewis, M.D.

• Endodontics in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Endodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.

Verify at the official NPI Registry.