Individual provider Active NPI

Helen S Livson, DMD

  • Dentist
  • Boston, MA
National Provider Identifier
1982875472
Registry record updated May 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21969 Issued in MA
Practice address
188 Longwood Ave
HSDM- Periodontology Reb 310
Boston, MA 02115-5819
Phone
(617) 780-7073
NPI assigned
Mar 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 21969 MA Primary
Periodontics 1223P0300X DN21969 MA

Addresses

Primary practice location

188 Longwood Ave
HSDM- Periodontology Reb 310
Boston, MA 02115-5819

Mailing address

19 Summit Rd
Apt. 31
Wellesley, MA 02482-4656
Phone (617) 780-7073

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20160705000424 MA Order and Referring Only - DentistPractitioner - Dentist 3870885346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21969MAMDDentist
DN21969MAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464393600000",
    "number": "1982875472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SUMMIT RD",
            "address_2": "APT. 31",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024824656",
            "telephone_number": "617-780-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 LONGWOOD AVE",
            "address_2": "HSDM- PERIODONTOLOGY REB 310",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155819",
            "telephone_number": "617-780-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVSON",
        "first_name": "HELEN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-12",
        "last_updated": "2016-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "21969",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN21969",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.