Dr. Mark S. Levy, DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12315 Issued in MA

Legal business name

DR. MARK S. LEVY, DMD PC

Practice address

1795 Main St
Suite 203
Springfield, MA 01103-1077

Phone

(413) 732-4916

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Sharon N Levy

Title

Clerk

Phone

(413) 567-6528

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619007093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 MAIN ST",
            "address_2": "SUITE 203",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031077",
            "telephone_number": "413-732-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 MAIN ST",
            "address_2": "SUITE 203",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031077",
            "telephone_number": "413-732-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARK S. LEVY, DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CLERK",
        "authorized_official_telephone_number": "413-567-6528",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "12315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0246034",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MA",
            "identifier": "X03981",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr Sunit Jain Inc
• Dr Sunit Jain Inc
• Dr Sunit Jain Inc
• Dr. Dental of Springfield
• Dr. James Haines & Dr. William Belcastro, PTR.
• Martha Dragon, CRNA
• Kyle S Draleau
• David C Dredge, MD
• Jillian Marie Dreher
• Jessica M Drenga, APRN

• General Practice Dentistry in Springfield, MA
• Providers in Springfield, MA by specialty
• General Practice Dentistry in Massachusetts

• 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.