NPIMap

Organization Active NPI

Sam W. Levine, D.D.S., M.S., P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lexington, MA
National Provider Identifier
1922210616
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
21310 Issued in MA
Legal business name
SAM W. LEVINE, D.D.S., M.S., P.C.
Practice address
18 Muzzey St
Lexington, MA 02421-5224
Phone
(781) 860-9473
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Authorized official

Name
Dr. Sam LevineNPI 1528007127
Title
President
Phone
(781) 860-9473

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 21310 MA Primary

Addresses

Primary practice location

18 Muzzey St
Lexington, MA 02421-5224

Mailing address

18 Muzzey St
Lexington, MA 02421-5224

National Provider Directory

National Provider Directory

Locations

18 Muzzey St
Lexington, MA 02421
Phone (781) 860-9473

Practitioners & affiliated clinicians

Practitioners 1

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1922210616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MUZZEY ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MUZZEY ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215224",
            "telephone_number": "781-860-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM W. LEVINE, D.D.S., M.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-860-9473",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "21310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.