Active NPI
Ronald Anthony Livingston, DDS
- General Practice Dentistry
- Highland Park, MI
National Provider Identifier
1184737603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12907
- Practice address
- 13724 Woodward Ave
Highland Park, MI 48203-3625 - Phone
- (313) 883-3050
- Fax
- (313) 883-7038
- NPI assigned
- Aug 17, 2006
- Last updated
- Jul 16, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12907 | MI | |
| General Practice Dentistry | 1223G0001X | 12907 | MI | Primary |
Addresses
Primary practice location
13724 Woodward Ave
Highland Park, MI 48203-3625
Mailing address
13724 Woodward Ave
Highland Park, MI 48203-3625
Phone (313) 883-3050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 871984 | Other | UNITED CONCORDIA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12907 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald a Livingston, DDS, PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Livingston Family Dentistry
- General Practice Dentistry
- Highland Park, MI
- NPI 1750671830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1184737603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13724 WOODWARD AVE",
"city": "HIGHLAND PARK",
"state": "MI",
"postal_code": "482033625",
"telephone_number": "313-883-3050",
"fax_number": "313-883-7038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13724 WOODWARD AVE",
"city": "HIGHLAND PARK",
"state": "MI",
"postal_code": "482033625",
"telephone_number": "313-883-3050",
"fax_number": "313-883-7038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVINGSTON",
"first_name": "RONALD",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "12907",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "12907",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "871984",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Highland Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.