Sam William Levine, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

21310 Issued in MA

Practice address

18 Muzzey St
Lexington, MA 02421-5224

Phone

(781) 860-9473

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Smilesuite LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Harvard, MA
  • NPI 1821567256
  NPD Authorized official
• Sam W. Levine, D.D.S., M.S., P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lexington, MA
  • NPI 1922210616
  NPD (past) Authorized official

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1528007127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MUZZEY ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215224",
            "telephone_number": "781-860-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MUZZEY ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215224",
            "telephone_number": "781-860-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "SAM",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "21310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Edwina Lepore, LICSW
• Jaimee Lee Leroux, M.ED.
• Michael Levi
• Barbara Levine, MSSA, LICSW
• Janice R. Levine, PH.D.
• Amy Levitan, LICSW
• Harvey J Lewis, M.D.
• Julia Lewis, OTD
• Lex Smiles PC
• Lexington Care & Rehab LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Lexington, MA
• Providers in Lexington, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.