Dr Kenneth R Levine

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN6044 Issued in FL

Legal business name

DR KENNETH R LEVINE

Practice address

8333 W McNab Rd Ste 104
Tamarac, FL 33321-3203

Phone

(954) 722-1100

Fax

(954) 722-1434

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth R Levine, DDSNPI 1336284413

Title

Doctor

Phone

(954) 722-1100

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

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

• Kenneth R Levine, D.D.S.

  • Periodontics
  • Tamarac, FL
  • NPI 1336284413
  NPD (past) Authorized official
• Neil A Baker, DDS

  • Endodontics
  • Tamarac, FL
  • NPI 1902905615
  NPD (past)
• Gabriela Franqui Moffett, DMD

  • General Practice Dentistry
  • Tamarac, FL
  • NPI 1225607781
  NPD (past)
• Jose Rafael Porras, D.D.S. M.S.D.

  • Dentist
  • Tamarac, FL
  • NPI 1659500783
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1225251945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 W MCNAB RD STE 104",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213203",
            "telephone_number": "954-722-1100",
            "fax_number": "954-722-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 W MCNAB RD STE 104",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213203",
            "telephone_number": "954-722-1100",
            "fax_number": "954-722-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KENNETH R LEVINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "954-722-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN6044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85330",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dr David S Simon DDS PA
• Dr Dental Associates PA
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• Dr. Allan Green DPM PA
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• Dr. Michael Hershorn, P.a.
• Stephanie Draper-Blodgett, P.T.

• Periodontics in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.