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BLAKE GABRIEL LIVINGSTON DDS
NPI 1750677902
Dentist - General Practice in Highland Park, MI

Active since June 27, 2011PECOS Enrolled
13724 WOODWARD AVE, HIGHLAND PARK, MI 48203(313) 883-3050 Get Directions Write a Review

NPPES record last updated: May 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blake Gabriel Livingston Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKE GABRIEL LIVINGSTON DDS (NPI 1750677902) is an individual general practice provider in Highland Park, Michigan, licensed in Michigan (20372) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750677902
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameBLAKE GABRIEL LIVINGSTONCredential: DDS
Location Address13724 WOODWARD AVEHighland Park, MI 48203-3625
Mailing Address13724 Woodward AveHighland Park, MI 48203-3625 · (313) 883-3050
Phone(313) 883-3050
Sole ProprietorNo
Enumeration DateJune 27, 2011
Last NPPES UpdateMay 15, 2015
✔ NPI 1750677902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 20372
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 20372 (MI)
13724 WOODWARD AVE, Highland Park, MI 48203
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Other Identifiers 1

Medicaid1750677902MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blake Gabriel Livingston Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RONALD ANTHONY LIVINGSTON DDS
Dentist (General Practice)
13724 WOODWARD AVE
HIGHLAND PARK, MI 48203
Wayne County (313) 883-3050
RONALD A LIVINGSTON, DDS, PC
Dentist (General Practice)
13724 WOODWARD AVE
HIGHLAND PARK, MI 48203
Wayne County (313) 883-3050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Livingston's NPI number?

The NPI number for Blake Livingston is 1750677902. It was assigned to this individual provider in the NPPES registry on June 27, 2011.

Where is Blake Livingston located?

Blake Livingston practices at 13724 Woodward Ave, Highland Park, MI 48203. The listed phone number is (313) 883-3050.

What is Blake Livingston's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Blake Livingston enrolled in Medicare?

Yes. Blake Livingston is registered in the Medicare PECOS enrollment system.

What insurance does Blake Livingston accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Blake Livingston as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blake Livingston was last updated on May 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.