Individual provider Active NPI

Todd R Levine, DDS

  • General Practice Dentistry
  • Lockport, NY
National Provider Identifier
1831249846
Registry record updated Apr 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
042491 Issued in NY
Practice address
5862 Snyder Drive
Lockport, NY 14094
Phone
(716) 439-1877
Fax
(716) 439-1918
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 042491 NY Primary

Addresses

Primary practice location

5862 Snyder Drive
Lockport, NY 14094

Mailing address

5862 Snyder Dr
Lockport, NY 14094-9497
Phone (716) 439-1877

Other identifiers 1

IdentifierTypeStateIssuer
02531051MedicaidNY

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
042491NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Family Dental, PLLC General Practice CurrentSince Jan 3, 2011 Accepting new patients
Aspire Family Dental, PLLC CurrentSince Sep 7, 2004 Accepting new patients
Todd R Levine PastSince Dec 30, 1991 Accepting new patients

Locations

5862 Snyder Dr
Lockport, NY 14094
Phone (716) 280-1003

1705 Pine Ave
Niagara Falls, NY 14301
Phone (716) 284-0110

554 E Robinson St
North Tonawanda, NY 14120
Phone (716) 695-1137

Organizations & group practices 3

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493424000000",
    "number": "1831249846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5862 SNYDER DR",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949497",
            "telephone_number": "716-439-1877",
            "fax_number": "716-439-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5862 SNYDER DRIVE",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "14094",
            "telephone_number": "716-439-1877",
            "fax_number": "716-439-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "TODD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2017-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02531051",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.