Individual provider Active NPI

Fallon Livingston, DDS

  • Periodontics
  • Temecula, CA
National Provider Identifier
1669909289
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DDS101125 Issued in CA
Practice address
29560 Rancho California Rd Ste 100
Temecula, CA 92591-5294
Phone
(951) 699-2144
NPI assigned
May 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DDS101125 CA Primary
Orofacial Pain DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X2210X 101125 CA

Addresses

Primary practice location

29560 Rancho California Rd Ste 100
Temecula, CA 92591-5294

Mailing address

29560 Rancho California Rd Ste 100
Temecula, CA 92591-5294
Phone (951) 699-2144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171117001295 CA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 9032475488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS101125CAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Lynda Watanabe Dental Corporation Multi-Specialty Past Accepting new patients

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": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1669909289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29560 RANCHO CALIFORNIA RD STE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915294",
            "telephone_number": "951-699-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29560 RANCHO CALIFORNIA RD STE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915294",
            "telephone_number": "951-699-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "FALLON",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "DDS101125",
            "primary": true
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orofacial Pain",
            "state": "CA",
            "license": "101125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.