Justin Liggett, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

105682 Issued in CA

Practice address

765 Morning Star Dr
Sonora, CA 95370-5193

Phone

(209) 532-7418

Fax

(209) 533-3515

NPI assigned

Aug 12, 2015

Last updated

May 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Justin P Liggett DDS Inc

  • Dental Clinic/Center
  • Sonora, CA
  • NPI 1104400928
  NPD Authorized official
• Thomas P. McCue IV DDS PC

  • Dentist
  • Philadelphia, NY
  • NPI 1629342860
  NPD (past)

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1184090201",
    "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": [
        {
            "address_1": "10590 Enduring Freedom Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Drum",
            "state": "NY",
            "postal_code": "13602",
            "country_code": "US",
            "telephone_number": "315-772-6234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Philadelphia Shopping Center",
            "address_2": "2 South Main Street",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "NY",
            "postal_code": "13673",
            "country_code": "US",
            "telephone_number": "315-642-0318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Bridge St",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "NY",
            "postal_code": "136191360",
            "country_code": "US",
            "telephone_number": "315-493-3510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1116 Arsenal St",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "NY",
            "postal_code": "136012181",
            "country_code": "US",
            "telephone_number": "315-779-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1710 E March Ln",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952105601",
            "country_code": "US",
            "telephone_number": "209-474-1000",
            "fax_number": "209-474-8429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIGGETT",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-12",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13543",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "060300",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05652653",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Choo S Lee, M.D.
• Edward Leers, DPT
• Sara Leah Leonard, M.A.
• Alan Levine, M.D.
• Jayme Lynn Lewallen
• Jamie D Lloyd, CADC II
• Andrew Yung Lo
• Welby Joseph Lo, CCC-SLP
• Brett C. Lockman, DO
• Nichole Terese Longeway, FNP

• Dentist in Sonora, CA
• Providers in Sonora, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.