Organization Active NPI

Hau Levine & Malm,Berg, Inc

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1154494151
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26883 Issued in CA
Legal business name
HAU LEVINE & MALM,BERG, INC
Practice address
3924 Williams Rd
San Jose, CA 95117-2794
Phone
(408) 246-8686
Fax
(408) 246-8690
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Leonard Jordan Levine, D.D.S.
Title
President
Phone
(408) 246-8686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 26883 CA Primary

Addresses

Primary practice location

3924 Williams Rd
San Jose, CA 95117-2794

Mailing address

3924 Williams Rd
San Jose, CA 95117-2794
Phone (408) 246-8686

National Provider Directory

National Provider Directory

Locations

3924 Williams Rd
San Jose, CA 95117
Phone (408) 246-8686

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154494151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 WILLIAMS RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951172794",
            "telephone_number": "408-246-8686",
            "fax_number": "408-246-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 WILLIAMS RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951172794",
            "telephone_number": "408-246-8686",
            "fax_number": "408-246-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAU LEVINE & MALM,BERG, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-246-8686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "26883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.