NPIMap

Organization Active NPI

Liv General and Cosmetic Dentistry

  • Preferred Provider Organization
  • The Colony, TX
National Provider Identifier
1104203611
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
23907 Issued in TX
Legal business name
LIV GENERAL AND COSMETIC DENTISTRY
Practice address
5101 State Highway 121 Ste 200
The Colony, TX 75056-2601
Phone
(607) 237-8376
NPI assigned
May 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Dr. Clark Wilson Steffens
Title
Owner/Dentist
Phone
(254) 644-2463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 23907 TX Primary

Addresses

Primary practice location

5101 State Highway 121 Ste 200
The Colony, TX 75056-2601

Mailing address

5101 State Highway 121 Ste 200
The Colony, TX 75056-2601
Phone (607) 237-8376

National Provider Directory

National Provider Directory
Tax ID family
Liv Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1104203611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 STATE HIGHWAY 121 STE 200",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750562601",
            "telephone_number": "607-237-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 STATE HIGHWAY 121 STE 200",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750562601",
            "telephone_number": "607-237-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIV GENERAL AND COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "STEFFENS",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "254-644-2463",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "23907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Colony, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.