Robert Allen Levine, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401005723 Issued in VA

Practice address

3918 Prosperity Ave
Fairfax, VA 22031-3333

Phone

(703) 280-1300

Fax

(703) 280-1314

NPI assigned

Feb 9, 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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1811960842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 PROSPERITY AVE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313333",
            "telephone_number": "703-280-1300",
            "fax_number": "703-280-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 PROSPERITY AVE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313333",
            "telephone_number": "703-280-1300",
            "fax_number": "703-280-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "ROBERT",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401005723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patric Justin Leukel, PH.D.
• Jenna Alene Levantin
• Juliette Marie Levchenko
• Brian Lee Levine, PSYD
• Megan Levine, M.S. CCC-SLP
• Hannah Levinson
• Meghan Renee-McNabb Levinson
• Patrice Yancey Levinson, NP
• Ronald James Levinson, PHARMD
• Sheree Levitsky, LCSW

• General Practice Dentistry in Fairfax, VA
• Providers in Fairfax, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.