Individual provider Active NPI

Dean Alan Levy, D.M.D.

  • Dentist
  • Salem, MA
National Provider Identifier
1730595430
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1856613 Issued in MA
Practice address
100 Highland Ave
Suite 103
Salem, MA 01970-2702
Phone
(978) 740-5135
NPI assigned
Jul 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1856613 MA Primary

Addresses

Primary practice location

100 Highland Ave
Suite 103
Salem, MA 01970-2702

Mailing address

100 Highland Ave
Suite 103
Salem, MA 01970-2702
Phone (978) 740-5135

Other practice location 1

185 Devonshire St Ste 410
Boston, MA 02110-1413
Phone (617) 350-7474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1856613MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin M. Kelaher, D.M.D., P.C. PastSince Jul 24, 2022 Accepting new patients
Highland Dental Group LLC PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730595430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND AVE",
            "address_2": "SUITE 103",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702702",
            "telephone_number": "978-740-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND AVE",
            "address_2": "SUITE 103",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702702",
            "telephone_number": "978-740-5135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Devonshire St Ste 410",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021101413",
            "country_code": "US",
            "telephone_number": "617-350-7474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVY",
        "first_name": "DEAN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.