NPIMap

Organization Active NPI

C. Brock Livingston, DMD, LLC

  • General Practice Dentistry
  • Florence, AL
National Provider Identifier
1760796668
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5182 Issued in AL
Legal business name
C. BROCK LIVINGSTON, DMD, LLC
Practice address
2126 Helton Dr
Florence, AL 35630-1449
Phone
(256) 764-1062
Fax
(256) 768-2378
NPI assigned
Aug 3, 2010
Last updated
Jan 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Authorized official

Name
Dr. Christopher Brock Livingston, D.M.D.NPI 1811054240
Title
Member
Phone
(256) 764-1062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5182 AL Primary

Addresses

Primary practice location

2126 Helton Dr
Florence, AL 35630-1449

Mailing address

2126 Helton Dr
Florence, AL 35630-1449
Phone (256) 764-1062

National Provider Directory

National Provider Directory

Locations

2126 Helton Dr
Florence, AL 35630
Phone (256) 764-1062

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1760796668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 HELTON DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301449",
            "telephone_number": "256-764-1062",
            "fax_number": "256-768-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 HELTON DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301449",
            "telephone_number": "256-764-1062",
            "fax_number": "256-768-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. BROCK LIVINGSTON, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "BROCK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "256-764-1062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.