Kristopher Emery Liggett, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3611 Issued in AR

Practice address

3200 Rogers Ave Ste 112
Fort Smith, AR 72903-2954

Phone

(479) 782-0080

Fax

(479) 782-8580

NPI assigned

Jun 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Aug 26, 2015 through Aug 26, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Parklane Family Dental PLLC

  • Dental Clinic/Center
  • Fort Smith, AR
  • NPI 1427648625
  NPD Authorized official
• Weekend Dental Clinic

  • General Practice Dentistry
  • Fort Smith, AR
  • NPI 1083869911

  General Practice

  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982807137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 ROGERS AVE STE 111",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032954",
            "telephone_number": "479-782-0080",
            "fax_number": "479-783-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 ROGERS AVE STE 112",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032954",
            "telephone_number": "479-782-0080",
            "fax_number": "479-782-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGGETT",
        "first_name": "KRISTOPHER",
        "middle_name": "EMERY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LHCG Cxviii, LLC
• LHCG Xlii, LLC
• Christopher M Lieux, MHPP
• Liftoff Pediatric Therapy Services
• Charles G Liggett Jr., D.D.S.
• William Clark Ligon, D.D.S.
• Clemit W Liles III, O.D.
• Laurn Lima, LCSW
• Tyler Limore, CIT, RDS
• Lincare Inc

• All providers in Fort Smith, AR
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.