Andrea Wilkins Livingood, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

62387 Issued in CA

Practice address

500 Cohasset Rd Ste 15
Chico, CA 95926-2260

Phone

(530) 433-2500

NPI assigned

Nov 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Andrea Nicole Livingood Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrea.wilkins@nvih.eclinicaldirectplus.com

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.

• Northern Valley Indian Health Inc

  • Clinic/Center
  • Willows, CA
  • NPI 1295752384

  TX

  Medicare reassignment NPD
• Northern Valley Indian Health Inc

  • Clinic/Center
  • Chico, CA
  • NPI 1750031548
  NPD
• Partnership for the Children of San Luis Obispo Co

  • Pediatric Dentistry
  • Paso Robles, CA
  • NPI 1033214283
  NPD (past)
• Tolosa Childrens Dental Center

  • Pediatric Dentistry
  • San Luis Obispo, CA
  • NPI 1295139590
  NPD (past)

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1861769549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 COHASSET RD STE 15",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262260",
            "telephone_number": "530-433-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COHASSET RD STE 15",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262260",
            "telephone_number": "530-433-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGOOD",
        "first_name": "ANDREA",
        "middle_name": "WILKINS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "62387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "LIVINGOOD",
            "middle_name": "NICOLE",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yuankang Liu
• Julie Liukkonen, M.S., MFT
• Lively Family Therapy Inc
• Katharine Lively, MFT
• Richard W Livesay, M.D.
• Carey Anne Livingston
• Tristin Arthur Carey Livingston
• LL Banks, LLC
• Jessica J Llerenas
• Lee Lo

• Pediatric Dentistry in Chico, CA
• Providers in Chico, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.