Active NPI
Alan Levick, DMD
- Endodontics
- Natick, MA
National Provider Identifier
1275620114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 10441
- Practice address
- 214 N Main Street
Natick, MA 02176-2997 - Phone
- (508) 655-6262
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 10441 | MA | Primary |
Addresses
Primary practice location
214 N Main Street
Natick, MA 02176-2997
Mailing address
150 Countryside Rd
Newton Centre, MA 02459-2941
Phone (617) 965-2754
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 |
|---|---|---|---|
| 10441 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200441600000",
"number": "1275620114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 COUNTRYSIDE RD",
"city": "NEWTON CENTRE",
"state": "MA",
"postal_code": "024592941",
"telephone_number": "617-965-2754",
"fax_number": "617-244-9783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 N MAIN STREET",
"city": "NATICK",
"state": "MA",
"postal_code": "021762997",
"telephone_number": "508-655-6262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVICK",
"first_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2008-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MA",
"license": "10441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Natick, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.