Craig Lenard Levine, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

044512 Issued in NY

Practice address

387 E Main St
Suite 101
Bay Shore, NY 11706-8413

Phone

(631) 665-1325

Fax

(631) 665-5168

NPI assigned

Feb 6, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2023 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Craig L Levine DDS PC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Bay Shore, NY
  • NPI 1659573442
  Authorized official Same address or phone

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1285774851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 E MAIN ST",
            "address_2": "SUITE 101",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068413",
            "telephone_number": "631-665-1325",
            "fax_number": "631-665-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 E MAIN ST",
            "address_2": "SUITE 101",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068413",
            "telephone_number": "631-665-1325",
            "fax_number": "631-665-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "CRAIG",
        "middle_name": "LENARD",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "044512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shun Yan Leung
• Jessica Levasseur, LMSW
• Deborah B Levbarg, DDS
• Benjamin Levens, M.D.
• Rachael Spinner Levens, PA
• Heidi Jill Levine, DO
• Marykay Levitt, REGISTER NURSE
• Jennifer Levy, LMSW
• Stephen Allan Lewen, MD
• Heather Lewis, NP

• Oral and Maxillofacial Surgery (Dentist) in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.