Living Our Dreams LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

LIVING OUR DREAMS LLC

Practice address

2557 S Val Vista Dr Ste 101
Gilbert, AZ 85295-6230

Phone

(480) 917-7546

Fax

(480) 917-7571

NPI assigned

Sep 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. William Fowler Fulton Jr., MD

Title

Owner

Phone

(480) 917-7546

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Thomas R Elliott, M.D.

  • Vascular Surgery Physician
  • Tucson, AZ
  • NPI 1215087143
  NPD (past)
• Joseph M. Smith III, MD

  • Vascular Surgery Physician
  • Santa Fe, NM
  • NPI 1437103157
  NPD (past)
• Patricia Smith, R.N.

  • Specialist
  • Santa Fe, NM
  • NPI 1164706677
  NPD (past)

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1578872180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2557 S VAL VISTA DR STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956230",
            "telephone_number": "480-917-7546",
            "fax_number": "480-917-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 S VAL VISTA DR STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956230",
            "telephone_number": "480-917-7546",
            "fax_number": "480-917-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING OUR DREAMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "FULTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FOWLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-917-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chynna Beverly Liu, PA-C
• Krystal Liu
• Ming-an Liu, MC, LPC
• Ming-Jai Liu, M.D., PHARM.D.
• Taylyn Livermon-Haynes
• Malaiya Ilene Eraso Liwag
• Cody Lloyd, PT
• Magdalena Lloyd, LCSW
• Taya Lloyd
• Luis Fernando Lobo, PT, DPT

• Medical Specialty Clinic/Center in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Medical Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.