Individual provider Active NPI

Robert Walters Livingston III, DC

  • Chiropractor
  • Breinigsville, PA
National Provider Identifier
1508989336
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009783 Issued in PA
Practice address
8026 Hamilton Blvd
Breinigsville, PA 18031-1219
Phone
(610) 395-5509
NPI assigned
Apr 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009783 PA Primary
Acupuncturist 171100000X AK000923 PA

Addresses

Primary practice location

8026 Hamilton Blvd
Breinigsville, PA 18031-1219

Mailing address

PO Box 96
Trexlertown, PA 18087-0096
Phone (610) 972-2462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141119001434 PA Practitioner - Chiropractic 1153543590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Livewell Integrated Health, LLCGroup PAC ID 1850513276, 2 clinicians

Practice addresses (Care Compare)

8026 Hamilton Blvd
Breinigsville, PA 18031-1219
Phone (610) 395-5509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC009783PAMDChiropractor
AK000923PAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Livewell Integrated Health, LLC Chiropractor CurrentSince Nov 1, 2014 Accepting new patients

Locations

8026 Hamilton Blvd
Breinigsville, PA 18031
Phone (610) 395-5509

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1508989336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "TREXLERTOWN",
            "state": "PA",
            "postal_code": "180870096",
            "telephone_number": "610-972-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8026 HAMILTON BLVD",
            "city": "BREINIGSVILLE",
            "state": "PA",
            "postal_code": "180311219",
            "telephone_number": "610-395-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "ROBERT",
        "middle_name": "WALTERS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-08",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009783",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK000923",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breinigsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.