Individual provider Active NPI

Rachal Monique Liverman, D.D.S.

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1073825980
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40201 Issued in TX
Practice address
15727 Wallisville Rd Ste 170
Houston, TX 77049-2330
Phone
(281) 459-1541
NPI assigned
Jul 8, 2010
Last updated
Jun 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 40201 TX Primary
General Practice Dentistry 1223G0001X 65176 CA

Addresses

Primary practice location

15727 Wallisville Rd Ste 170
Houston, TX 77049-2330

Mailing address

15727 Wallisville Rd Ste 170
Houston, TX 77049-2330
Phone (281) 459-1541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40201TXMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1073825980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15727 WALLISVILLE RD STE 170",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770492330",
            "telephone_number": "281-459-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15727 WALLISVILLE RD STE 170",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770492330",
            "telephone_number": "281-459-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVERMAN",
        "first_name": "RACHAL",
        "middle_name": "MONIQUE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "40201",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "65176",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.