Individual provider Active NPI

Alexandrea Grace Levines, DMD

  • General Practice Dentistry
  • Easley, SC
National Provider Identifier
1851281745
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11175 Issued in SC
Practice address
5075 Calhoun Memorial Hwy
Easley, SC 29640-3837
Phone
(864) 442-5448
NPI assigned
Jul 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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 11175 SC Primary

Addresses

Primary practice location

5075 Calhoun Memorial Hwy
Easley, SC 29640-3837

Mailing address

318 River Birch Rd
Pendleton, SC 29670-1881
Phone (706) 612-5201

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11175SCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1851281745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 RIVER BIRCH RD",
            "city": "PENDLETON",
            "state": "SC",
            "postal_code": "296701881",
            "telephone_number": "706-612-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5075 CALHOUN MEMORIAL HWY",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403837",
            "telephone_number": "864-442-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINES",
        "first_name": "ALEXANDREA",
        "middle_name": "GRACE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "11175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.