Active NPI
Robert Walters Livingston III, DC
- Chiropractor
- Breinigsville, PA
National Provider Identifier
1508989336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC009783
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2007
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC009783 | PA | MD | Chiropractor |
| AK000923 | PA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livewell Integrated Health, LLC | Chiropractor | Current | 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.
-
- Chiropractor
- Breinigsville, PA
- NPI 1528233624
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.