Individual provider Active NPI

Barry P Levin, DMD

  • Periodontics
  • Jenkintown, PA
National Provider Identifier
1851449334
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DS029658L Issued in PA
Practice address
509 York Rd
Jenkintown, PA 19046-2102
Phone
(215) 635-0465
Fax
(215) 885-3407
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DS029658L PA Primary

Addresses

Primary practice location

509 York Rd
Jenkintown, PA 19046-2102

Mailing address

7848 Old York Rd
Suite 100
Elkins Park, PA 19027-2541
Phone (215) 635-0465

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 12, 2014 through Jun 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS029658LPAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1851449334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7848 OLD YORK RD",
            "address_2": "SUITE 100",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272541",
            "telephone_number": "215-635-0465",
            "fax_number": "215-635-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 YORK RD",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462102",
            "telephone_number": "215-635-0465",
            "fax_number": "215-885-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "BARRY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS029658L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.