Active NPI
Andrew S. Levine, DDS
- General Practice Dentistry
- Saratoga Springs, NY
National Provider Identifier
1083634612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 38704
- Practice address
- 286 Church St
Saratoga Springs, NY 12866-9208 - Phone
- (518) 584-8150
- Fax
- (518) 584-8751
- NPI assigned
- Jul 19, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 38704 | NY | Primary |
Addresses
Primary practice location
286 Church St
Saratoga Springs, NY 12866-9208
Mailing address
286 Church St
Saratoga Springs, NY 12866-9208
Phone (518) 584-8150
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00915797 | Medicaid | NY | |
| 10005124 | Other | NY | CDPHP |
| 000460174001 | Other | NY | BLUE SHIELD |
| 816875 | Other | NY | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38704 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kletter & Levine PC | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Saratoga Springs, NY
- NPI 1437257144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083634612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "286 CHURCH ST",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128669208",
"telephone_number": "518-584-8150",
"fax_number": "518-584-8751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "286 CHURCH ST",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128669208",
"telephone_number": "518-584-8150",
"fax_number": "518-584-8751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "ANDREW",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "38704",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00915797",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10005124",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000460174001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "816875",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.