Organization Active NPI

Livingspring Family Medical Center PLLC

  • Family Medicine Physician
  • Mansfield, TX
National Provider Identifier
1043813603
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LIVINGSPRING FAMILY MEDICAL CENTER PLLC
Practice address
1256 N Holland Rd
Mansfield, TX 76063-9001
Phone
(817) 717-9597
Fax
(833) 992-1938
NPI assigned
Nov 17, 2020
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Authorized official

Name
Dr. Tolulope Mary Olabintan, MDNPI 1558686105
Title
Medical Doctor
Phone
(817) 717-9597

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
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1256 N Holland Rd
Mansfield, TX 76063-9001

Mailing address

1256 N Holland Rd
Mansfield, TX 76063-9001
Phone (817) 717-9597

Other identifiers 1

IdentifierTypeStateIssuer
184418001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201229000407 TX Part B Supplier - Clinic/Group Practice 4688087224 Receives reassigned benefits from 2 practitioners
Practice locations: Mansfield, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2218413Livingspring Family Medical Center, PLLC3807 E Broad St Suite 101, Mansfield, TX 76063Certificate of waiverMar 28, 2027

National Provider Directory

National Provider Directory

Locations

1256 N Holland Rd
Mansfield, TX 76063
Phone (817) 717-9597

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22586/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1043813603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 N HOLLAND RD",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639001",
            "telephone_number": "817-717-9597",
            "fax_number": "833-992-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 N HOLLAND RD",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639001",
            "telephone_number": "817-717-9597",
            "fax_number": "833-992-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSPRING FAMILY MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "OLABINTAN",
        "authorized_official_first_name": "TOLULOPE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "817-717-9597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184418001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.