Organization Active NPI

Live Oak OBGYN, LLP

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1831195056
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
LIVE OAK OBGYN, LLP
Practice address
1311 N Washington Ave
Dallas, TX 75204-6501
Phone
(214) 824-2563
Fax
(214) 824-3353
NPI assigned
Jun 22, 2005
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Julian Gayden CarterNPI 1093711046
Title
Partner
Phone
(214) 824-2563

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
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

1311 N Washington Ave
Dallas, TX 75204-6501

Mailing address

1311 N Washington Ave
Dallas, TX 75204-6501
Phone (214) 824-2563

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081203000462 TX Part B Supplier - Clinic/Group Practice 9931260403 Receives reassigned benefits from 5 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

1311 N Washington Ave
Dallas, TX 75204
Phone (214) 824-2563

Practitioners & affiliated clinicians

Practitioners 5

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": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1831195056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 N WASHINGTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046501",
            "telephone_number": "214-824-2563",
            "fax_number": "214-824-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N WASHINGTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046501",
            "telephone_number": "214-824-2563",
            "fax_number": "214-824-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OAK OBGYN, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "GAYDEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "214-824-2563"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.