NPIMap

Organization Active NPI

Kletter & Levine PC

  • General Practice Dentistry
  • South Glens Falls, NY
National Provider Identifier
1386727683
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KLETTER & LEVINE PC
Practice address
63 Hudson St
South Glens Falls, NY 12803-4945
Phone
(518) 792-2187
Fax
(518) 792-2188
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Andrew Levine, DDS
Title
Owner
Phone
(518) 792-2187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

63 Hudson St
South Glens Falls, NY 12803-4945

Mailing address

63 Hudson St
South Glens Falls, NY 12803-4945
Phone (518) 792-2187

Other identifiers 2

IdentifierTypeStateIssuer
CDPHPOtherNY7259
UNITED CONCORDIAOtherNY1408571

National Provider Directory

National Provider Directory
Tax ID family
Kletter Levine PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

63 Hudson St
South Glens Falls, NY 12803
Phone (518) 792-2187

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386727683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 HUDSON ST",
            "city": "SOUTH GLENS FALLS",
            "state": "NY",
            "postal_code": "128034945",
            "telephone_number": "518-792-2187",
            "fax_number": "518-792-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 HUDSON ST",
            "city": "SOUTH GLENS FALLS",
            "state": "NY",
            "postal_code": "128034945",
            "telephone_number": "518-792-2187",
            "fax_number": "518-792-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLETTER & LEVINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-792-2187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "7259",
            "identifier": "CDPHP",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1408571",
            "identifier": "UNITED CONCORDIA",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.