Justin P Liggett DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JUSTIN P LIGGETT DDS INC

Practice address

765 Morning Star Dr
Sonora, CA 95370-5193

Phone

(209) 532-7418

Fax

(209) 533-3515

NPI assigned

May 7, 2021

Last updated

Sep 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Justin Page Liggett, DDSNPI 1184090201

Title

Dentist

Phone

(209) 532-7418

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Justin Liggett, DDS

  • Dentist
  • Sonora, CA
  • NPI 1184090201
  NPD Authorized official
• Austin Owen, DDS

  • General Practice Dentistry
  • Sonora, CA
  • NPI 1972081156
  NPD (past)
• Robert Zachary Rasco, DDS

  • General Practice Dentistry
  • Sonora, CA
  • NPI 1629521430
  NPD (past)

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1104400928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 MORNING STAR DR",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705193",
            "telephone_number": "209-532-7418",
            "fax_number": "209-533-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 MORNING STAR DR",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705193",
            "telephone_number": "209-532-7418",
            "fax_number": "209-533-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN P LIGGETT DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "LIGGETT",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "PAGE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "209-532-7418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Gabrielle Johnson, PSY D
• Sharon Rose Johnson, M.D.
• Christopher Lee Jones, M.D.
• Julie Kathleen Jones, RNFA
• Steven Martin Joye, DO
• Deborah L Kagay, FNP-C, PA-C
• Kimberly Sue Kahler, RDH
• Navita Kalair
• Karen Kallas, RDH
• Mujibullah Karimi, PHARMD

• Dental Clinic/Center in Sonora, CA
• Providers in Sonora, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.