Individual provider Active NPI

Charles Stephen Livingston, D.C.

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1699877415
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002173A Issued in IN
Practice address
8902 N Meridian St
Suite 101
Indianapolis, IN 46260-5382
Phone
(317) 848-8048
Fax
(317) 575-8807
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002173A IN Primary

Addresses

Primary practice location

8902 N Meridian St
Suite 101
Indianapolis, IN 46260-5382

Mailing address

8902 N Meridian St
Suite 101
Indianapolis, IN 46260-5382
Phone (317) 848-8048

Other identifiers 1

IdentifierTypeStateIssuer
000000512900OtherINANTHEM BC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002173AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
United Chiropractic Chiropractor Past Accepting new patients
Livingston Chiropractic LLC Chiropractor PastSince Oct 30, 2005 Accepting new patients

Organizations & group practices 2

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225411200000",
    "number": "1699877415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8902 N MERIDIAN ST",
            "address_2": "SUITE 101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605382",
            "telephone_number": "317-848-8048",
            "fax_number": "317-575-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8902 N MERIDIAN ST",
            "address_2": "SUITE 101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605382",
            "telephone_number": "317-848-8048",
            "fax_number": "317-575-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "CHARLES",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2008-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002173A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000512900",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.