Active NPI
Eric D Levine, D.D.S.
- General Practice Dentistry
- Olney, MD
National Provider Identifier
1629140538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11057
- Practice address
- 3416 Olandwood Court,
Suite 206
Olney, MD 20832 - Phone
- (301) 774-2683
- Fax
- (301) 774-9110
- NPI assigned
- Nov 15, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11057 | MD | Primary |
Addresses
Primary practice location
3416 Olandwood Court,
Suite 206
Olney, MD 20832
Mailing address
3416 Olandwood Court
Suite 206
Olney, MD 20832
Phone (301) 774-2683
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 |
|---|---|---|---|
| 11057 | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric Levine DDS PA | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629140538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3416 OLANDWOOD COURT",
"address_2": "SUITE 206",
"city": "OLNEY",
"state": "MD",
"postal_code": "20832",
"telephone_number": "301-774-2683",
"fax_number": "301-774-9110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3416 OLANDWOOD COURT,",
"address_2": "SUITE 206",
"city": "OLNEY",
"state": "MD",
"postal_code": "20832",
"telephone_number": "301-774-2683",
"fax_number": "301-774-9110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "ERIC",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "11057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olney, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.