Active NPI
Richard Livesay
- Dentist
- Fredericksburg, VA
National Provider Identifier
1427201425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7440
- Practice address
- 10620 Courthouse Rd
Fredericksburg, VA 22407-1602 - Phone
- (540) 898-8616
- NPI assigned
- Nov 4, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 7440 | VA | Primary |
Addresses
Primary practice location
10620 Courthouse Rd
Fredericksburg, VA 22407-1602
Mailing address
10620 Courthouse Rd
Fredericksburg, VA 22407-1602
Phone (540) 898-8616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 28, 2020 through Jan 28, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7440 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fredericksburg Dental Care | Past | Accepting new patients | |
| Family Dental Care | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Fredericksburg, VA
- NPI 1467543900
-
- General Practice Dentistry
- Fredericksburg, VA
- NPI 1932374683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225756800000",
"number": "1427201425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10620 COURTHOUSE RD",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224071602",
"telephone_number": "540-898-8616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10620 COURTHOUSE RD",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224071602",
"telephone_number": "540-898-8616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVESAY",
"first_name": "RICHARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-04",
"last_updated": "2008-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "7440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.