Rania Livada, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN18773 Issued in FL

Practice address

12161 County Road 103
Suite 101
Oxford, FL 34484-2985

Phone

(352) 419-0434

NPI assigned

Sep 30, 2009

Last updated

Nov 26, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480118400000",
    "number": "1184958639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12161 COUNTY ROAD 103",
            "address_2": "SUITE 101",
            "city": "OXFORD",
            "state": "FL",
            "postal_code": "344842985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12161 COUNTY ROAD 103",
            "address_2": "SUITE 101",
            "city": "OXFORD",
            "state": "FL",
            "postal_code": "344842985",
            "telephone_number": "352-419-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVADA",
        "first_name": "RANIA",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2016-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN18773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Kimberley Kelton Durrance
• Katherine Elizabeth Kennedy, DPT
• Clinton Kincannon
• La Plus Family Investment 2
• Kristen Ashley Leblanc, MS, OTR/L
• Amanda Sharron Lober
• Lowell F Clark MD PA
• Melchor Madarang, MD
• Stephanie A Madeira, RD
• Stephen Marengo, MFT INTERN

• Periodontics in Oxford, FL
• Providers in Oxford, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.