1. Home
  2. Directory
  3. New York
  4. Albany
  5. Dentist
  6. NPI Profile

DAVID LEVINE
NPI 1417438102
Dentist - General Practice in Albany, NY

Active since August 22, 2018
888 WESTERN AVE, ALBANY, NY 12203(518) 435-1104(518) 459-2419 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About David Levine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID LEVINE (NPI 1417438102) is a healthcare organization registered as a general practice in Albany, New York and active in the NPI registry since August 2018. The organization lists David Levine, Owner, as its authorized official.

NPPES Registry Identity

NPI1417438102
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDAVID LEVINE
Location Address888 WESTERN AVEAlbany, NY 12203-2532
Mailing Address888 Western AveAlbany, NY 12203-2532 · (518) 435-1104 · Fax (518) 459-2419
Phone(518) 435-1104
Fax(518) 459-2419
Organization SubpartNo
Authorized OfficialDavid LevineOwner · (518) 435-1104
Enumeration DateAugust 22, 2018
✔ NPI 1417438102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 033684
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
888 WESTERN AVE, Albany, NY 12203
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Levine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20181219000345DME · Oral Surgery - DentistDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Levine's NPI number?

The NPI number for David Levine is 1417438102. It was assigned to this organization in the NPPES registry on August 22, 2018.

Where is David Levine located?

David Levine is located at 888 Western Ave, Albany, NY 12203. The listed phone number is (518) 435-1104.

What is David Levine's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is David Levine enrolled in Medicare?

Yes. David Levine is registered in the Medicare PECOS enrollment system.

When is David Levine's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New York, Oral Surgery - Dentist) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for David Levine was last updated on August 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.