Active NPI
Roger Dayton Livingood, DDS
- Pediatric Dentistry
- Litchfield Park, AZ
National Provider Identifier
1316148224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D4925
- Practice address
- 13575 W Indian School Rd
Suite 1000
Litchfield Park, AZ 85340-4901 - Phone
- (623) 935-9873
- Fax
- (623) 536-6700
- NPI assigned
- May 29, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | D4925 | AZ | Primary |
Addresses
Primary practice location
13575 W Indian School Rd
Suite 1000
Litchfield Park, AZ 85340-4901
Mailing address
4122 E San Miguel Ave
Phoenix, AZ 85018-1140
Phone (602) 840-5042
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D4925 | AZ | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316148224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4122 E SAN MIGUEL AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850181140",
"telephone_number": "602-840-5042",
"fax_number": "602-840-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13575 W INDIAN SCHOOL RD",
"address_2": "SUITE 1000",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853404901",
"telephone_number": "623-935-9873",
"fax_number": "623-536-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVINGOOD",
"first_name": "ROGER",
"middle_name": "DAYTON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "AZ",
"license": "D4925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Litchfield Park, AZ
- Litchfield Smiles
- Litchfield Terrace Assisted Living Home
- Live Well Assisted Living
- Live Well Assisted Living (Live Well Residential Care)
- Live Well Assisted Living LLC (Live Well Residential Care)
- Marilyn Lobo, DDS
- Amanda Kimberley Logid, LMFT
- Talya Shvonne Long
- Melissa Diane Loo, PA
- Jennifer Lopez Lugo, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.