NPIMap

Organization Active NPI

Landmark Dental

Doing business as Ilya Livshin

  • General Practice Dentistry
  • Norwood, MA
National Provider Identifier
1902124878
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LANDMARK DENTAL
Doing business as
Ilya Livshin
Practice address
77 Access Rd Ste 1
Norwood, MA 02062-5244
Phone
(781) 688-0248
Fax
(781) 688-0267
NPI assigned
May 17, 2010
Last updated
May 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Authorized official

Name
Dr. Ilya Livshin, DMDNPI 1528140282
Title
Dentist
Phone
(781) 688-0248

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

77 Access Rd Ste 1
Norwood, MA 02062-5244

Mailing address

77 Access Rd Ste 1
Norwood, MA 02062-5244
Phone (781) 688-0248

Other names 1

  • Ilya Livshin Doing business as

National Provider Directory

National Provider Directory

Locations

77 Access Rd
Ste 1
Norwood, MA 02062
Phone (781) 688-0248

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": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1902124878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 ACCESS RD STE 1",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625244",
            "telephone_number": "781-688-0248",
            "fax_number": "781-688-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 ACCESS RD STE 1",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625244",
            "telephone_number": "781-688-0248",
            "fax_number": "781-688-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "LIVSHIN",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "781-688-0248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ilya Livshin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.