Mark Levin, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

L11450 Issued in MI

Practice address

322 S Lafayette St Ste a
Greenville, MI 48838-1965

Phone

(616) 754-2800

Fax

(616) 754-2801

NPI assigned

May 10, 2007

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Baldwin Lake Dental PC

  • General Practice Dentistry
  • Greenville, MI
  • NPI 1962116418
  NPD Authorized official

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1821202649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 S LAFAYETTE ST STE A",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381965",
            "telephone_number": "616-754-2800",
            "fax_number": "616-754-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 S LAFAYETTE ST STE A",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381965",
            "telephone_number": "616-754-2800",
            "fax_number": "616-754-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2023-02-07",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "L11450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "L11450",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CVS",
            "affiliation": "N",
            "endpointDescription": "Baldwin Lake Dental PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "322 S Lafayette St Ste A",
            "city": "Greenville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488381965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bryce Richard Labar, DPT
• Kimberly Belle Lavender, LMSW
• Eric James Lee, MD
• Griffin Lee, PHARM D.
• Maya Leisinger, DPT, PT
• Sara Susan Lincoln
• Cara Michelle Lindamood, DPT
• Aimee F Long, LPC
• Nina Calantone Lund, MD PHD
• Michael Lyons, OT

• General Practice Dentistry in Greenville, MI
• Providers in Greenville, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.