Active NPI
Joshua Baruch Levenson, DDS
- Dentist
- Suwanee, GA
National Provider Identifier
1306027685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN013596
- Practice address
- 350 Town Center Ave
Suite 301
Suwanee, GA 30024-6914 - Phone
- (678) 835-0793
- NPI assigned
- Nov 15, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN013596 | GA | Primary |
Addresses
Primary practice location
350 Town Center Ave
Suite 301
Suwanee, GA 30024-6914
Mailing address
350 Town Center Ave
Suite 301
Suwanee, GA 30024-6914
Phone (678) 835-0793
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 |
|---|---|---|---|
| DN013596 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imagix 3 Dental | Dentist | Past | Accepting new patients |
| Imagix Dental of Suwanee LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Suwanee, GA
- NPI 1770689119
-
- Dentist
- Suwanee, GA
- NPI 1417325952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1306027685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 TOWN CENTER AVE",
"address_2": "SUITE 301",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300246914",
"telephone_number": "678-835-0793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 TOWN CENTER AVE",
"address_2": "SUITE 301",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300246914",
"telephone_number": "678-835-0793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVENSON",
"first_name": "JOSHUA",
"middle_name": "BARUCH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-15",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN013596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.