Individual provider Active NPI

Daniel E Levin, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Huntington BCH, CA
National Provider Identifier
1285644732
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D25001 Issued in CA
Practice address
7891 Talbert Ave
Ste 101
Huntington BCH, CA 92648-8613
Phone
(714) 842-2521
Fax
(714) 842-1083
NPI assigned
Aug 8, 2006
Last updated
Nov 28, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D25001 CA Primary

Addresses

Primary practice location

7891 Talbert Ave
Ste 101
Huntington BCH, CA 92648-8613

Mailing address

7891 Talbert Ave
Ste 101
Huntington BCH, CA 92648-8613
Phone (714) 842-2521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080610000307 CA Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 5890865331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D25001CAMDOral and Maxillofacial Surgery (Dentist)
25001CAMDHealth Educator

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel E. Levin, DDS, Inc. Oral and Maxillofacial Surgery CurrentSince Dec 15, 1997 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

7891 Talbert Ave
Ste 101
Huntington Beach, CA 92648
Phone (714) 842-2521

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1285644732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7891 TALBERT AVE",
            "address_2": "STE 101",
            "city": "HUNTINGTON BCH",
            "state": "CA",
            "postal_code": "926488613",
            "telephone_number": "714-842-2521",
            "fax_number": "714-842-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7891 TALBERT AVE",
            "address_2": "STE 101",
            "city": "HUNTINGTON BCH",
            "state": "CA",
            "postal_code": "926488613",
            "telephone_number": "714-842-2521",
            "fax_number": "714-842-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "DANIEL",
        "middle_name": "E",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "D25001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington BCH, CA

Sources for this page

Verify at the official NPI Registry.