Active NPI
Craig L Levine DDS PC
- Oral and Maxillofacial Surgery Clinic/Center
- Bay Shore, NY
National Provider Identifier
1659573442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery Clinic/Center
- Legal business name
- CRAIG L LEVINE DDS PC
- Practice address
- 387 E Main St
Suite 101
Bay Shore, NY 11706-8413 - Phone
- (631) 665-1325
- NPI assigned
- Jun 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Craig L Levine, DDS
- Title
- Oral Surgeon
- Phone
- (631) 665-1325
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center | 261QS0112X | Primary |
Addresses
Primary practice location
387 E Main St
Suite 101
Bay Shore, NY 11706-8413
Mailing address
387 E Main St
Suite 101
Bay Shore, NY 11706-8413
Phone (631) 665-1325
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1503878400000",
"number": "1659573442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "387 E MAIN ST",
"address_2": "SUITE 101",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068413",
"telephone_number": "631-665-1325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "387 E MAIN ST",
"address_2": "SUITE 101",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068413",
"telephone_number": "631-665-1325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRAIG L LEVINE DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-04",
"last_updated": "2017-08-28",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ORAL SURGEON",
"authorized_official_telephone_number": "631-665-1325",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QS0112X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.