NPIMap

Organization Active NPI

Eric Levine DDS PA

Doing business as Olney Dental Center

  • Dentist
  • Olney, MD
National Provider Identifier
1881263945
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ERIC LEVINE DDS PA
Doing business as
Olney Dental Center
Practice address
17902 Georgia Ave Ste 200
Olney, MD 20832-2279
Phone
(301) 774-3800
NPI assigned
Jun 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Dr. Eric Levine, DDSNPI 1629140538
Title
Owner
Phone
(202) 422-1006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

17902 Georgia Ave Ste 200
Olney, MD 20832-2279

Mailing address

17902 Georgia Ave Ste 200
Olney, MD 20832-2279
Phone (301) 774-3800

Other names 1

  • Olney Dental Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL elevine@olneydentalcenter.com Health Information Exchange (HIE) Eric Levine DDS PA

National Provider Directory

National Provider Directory

Locations

17902 Georgia Ave
Ste 200
Olney, MD 20832
Phone (301) 774-3800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1881263945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17902 GEORGIA AVE STE 200",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322279",
            "telephone_number": "301-774-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17902 GEORGIA AVE STE 200",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322279",
            "telephone_number": "301-774-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC LEVINE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-422-1006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elevine@olneydentalcenter.com",
            "affiliation": "Y",
            "affiliationName": "Eric Levine DDS PA",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17902 Georgia Ave Ste 200",
            "city": "Olney",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208322279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Olney Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.