Active NPI
Philip Montgomery Livingood, DDS
- Endodontics
- Los Alamitos, CA
National Provider Identifier
1083728141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 56907
- Practice address
- 3551 Farquhar Ave
Suite 201
Los Alamitos, CA 90720-2003 - Phone
- (562) 596-1664
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 56907 | CA | Primary |
Addresses
Primary practice location
3551 Farquhar Ave
Suite 201
Los Alamitos, CA 90720-2003
Mailing address
3551 Farquhar Ave
Suite 201
Los Alamitos, CA 90720-2003
Phone (562) 596-1664
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darren Machule DMD PHD | Endodontics | Past | Accepting new patients |
| Ronald C K Jew DDS Inc | Endodontics | Past | Accepting new patients |
| Los Alamitos Endodontics Dental Practice of Polk and Livingford | Endodontics | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Endodontics
- Los Alamitos, CA
- NPI 1902012453
-
dba Union Square Endodontics Group
- Endodontics
- San Francisco, CA
- NPI 1912098468
-
- Endodontics
- San Francisco, CA
- NPI 1295808871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393891200000",
"number": "1083728141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 FARQUHAR AVE",
"address_2": "SUITE 201",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202003",
"telephone_number": "562-596-1664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 FARQUHAR AVE",
"address_2": "SUITE 201",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202003",
"telephone_number": "562-596-1664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVINGOOD",
"first_name": "PHILIP",
"middle_name": "MONTGOMERY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2014-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "56907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Alamitos, CA
- Robert D Linden, MD
- Kathy Lingener
- Jeffrey Little
- Jeffrey Litzinger, M.D.
- Jennifer Liu, M. D.
- Savannah Jessica Lizarraga, MSN, PMHNP-BC
- Logisticare Solutions, LLC (Logisticare Solutions, LLC - CA Region 3)
- Logisticare Solutions, LLC (Logisticare Solutions, LLC - CA Region 2)
- Logisticare Solutions, LLC (Logisticare Solutions, LLC - CA Region 1)
- Lol, Corp (ComForcare Senior Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.