Nicholas Ryan Livingston, DMD, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5471 Issued in AL

Practice address

420 1St St N
Alabaster, AL 35007-8707

Phone

(205) 208-0167

Fax

(800) 244-8132

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, GA2 enrollments

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 2

Specialty

Oral Surgery

Education

University of Alabama School of Medicine, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Shelby Oral Facial Surgery, P.C.Group PAC ID 1456516624, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeast Alabama Regional Medical Center Hospital, Anniston, AL, CCN 010078

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Shelby Oral Facial Surgery PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Alabaster, AL
  • NPI 1366701450

  GA

  Medicare reassignment Care Compare group NPD Authorized official
• G.F. Atwell Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Anniston, AL
  • NPI 1043530892
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Health Care Authority of the City of Anniston

  dba Northeast Alabama Regional Medical Center

  • General Acute Care Hospital
  • Anniston, AL
  • NPI 1003996000
  Care Compare affiliation

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346459278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 1ST ST N",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078707",
            "telephone_number": "205-208-0167",
            "fax_number": "800-244-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 1ST ST N",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078707",
            "telephone_number": "205-208-0167",
            "fax_number": "800-244-8132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Leighton Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "Anniston",
            "state": "AL",
            "postal_code": "362075703",
            "country_code": "US",
            "telephone_number": "256-236-6090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Professional Pl",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301173874",
            "country_code": "US",
            "telephone_number": "770-832-8819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "NICHOLAS",
        "middle_name": "RYAN",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "5471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Keith Levan, RPH
• Pamela Michelle Lewis
• Christine Lillard
• Lindsay Orthopedics, LLC
• William David Lindsay, M.D.
• William J Livingston III, M.D.
• Robert David Loudon, M.D.
• Anne Townsend Love, FNP-C
• Hunter Lovett, ALC, NCC
• Teokelia Renza Lowery-Boyd

• Oral and Maxillofacial Surgery (Dentist) in Alabaster, AL
• Providers in Alabaster, AL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.