Organization Active NPI

Livingston Chiropractic Clinic P.C.

  • Durable Medical Equipment & Medical Supplies
  • Lebanon, TN
National Provider Identifier
1558669598
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
DC0000001803 Issued in TN
Legal business name
LIVINGSTON CHIROPRACTIC CLINIC P.C.
Practice address
1037 West Main Street
Suite D
Lebanon, TN 37087-3356
Phone
(615) 453-9300
Fax
(615) 453-9307
NPI assigned
Feb 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Authorized official

Name
Dr. Steven Gene Livingston, D.C.NPI 1770691461
Title
Director
Phone
(615) 453-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DC0000001803 TN Primary

Addresses

Primary practice location

1037 West Main Street
Suite D
Lebanon, TN 37087-3356

Mailing address

1037 West Main Street
Suite D
Lebanon, TN 37087-3356
Phone (615) 453-9300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120222000194 TN Part B Supplier - Clinic/Group Practice 8123209764 Receives reassigned benefits from 1 practitioner
Practice locations: Lebanon, TN

National Provider Directory

National Provider Directory

Locations

1037 W Main St
Ste D
Lebanon, TN 37087
Phone (615) 449-0541

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1558669598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 WEST MAIN STREET",
            "address_2": "SUITE D",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873356",
            "telephone_number": "615-453-9300",
            "fax_number": "615-453-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 WEST MAIN STREET",
            "address_2": "SUITE D",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873356",
            "telephone_number": "615-453-9300",
            "fax_number": "615-453-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSTON CHIROPRACTIC CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-453-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "DC0000001803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.