Organization Active NPI

David Levine

  • General Practice Dentistry
  • Albany, NY
National Provider Identifier
1417438102
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
033684 Issued in NY
Legal business name
DAVID LEVINE
Practice address
888 Western Ave
Albany, NY 12203-2532
Phone
(518) 435-1104
Fax
(518) 459-2419
NPI assigned
Aug 22, 2018
Last updated
Aug 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Dr. David Levine, DDSNPI 1700882925
Title
Owner
Phone
(518) 435-1104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 033684 NY Primary

Addresses

Primary practice location

888 Western Ave
Albany, NY 12203-2532

Mailing address

888 Western Ave
Albany, NY 12203-2532
Phone (518) 435-1104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181219000345 NY DME Supplier - Oral Surgery - Dentist 6901154814 Practice locations: Albany, NY

National Provider Directory

National Provider Directory

Locations

888 Western Ave
Albany, NY 12203
Phone (518) 435-1104

Practitioners & affiliated clinicians

Practitioners 1

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": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1417438102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122032532",
            "telephone_number": "518-435-1104",
            "fax_number": "518-459-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122032532",
            "telephone_number": "518-435-1104",
            "fax_number": "518-459-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID LEVINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-435-1104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "033684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.