Jeffrey Alan Lieberman, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

6162 Issued in MD

Practice address

22 W Padonia Rd
Suite C-244
Timonium, MD 21093-2226

Phone

(410) 252-3900

Fax

(410) 252-6051

NPI assigned

Feb 19, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in MD

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

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.

• Maryland Endodontic Group, P.C.

  • Endodontics
  • Timonium, MD
  • NPI 1912041062
  NPD (past) Authorized official
• Sterling Endodontics - Timonium

  • Endodontics
  • Timonium, MD
  • NPI 1346941622
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1013051168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11007 VALLEY HEIGHTS DR",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173056",
            "telephone_number": "410-363-6915",
            "fax_number": "410-252-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W PADONIA RD",
            "address_2": "SUITE C-244",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932226",
            "telephone_number": "410-252-3900",
            "fax_number": "410-252-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "6162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Jacob Levi-Goerlich, DPT
• Ann Jenkins Lewis, SLP
• Katherine Rose Lewis, PA
• Haiyang Li, PH.D., L.AC.
• Josephine Libonate
• Life Care Health Associates
• Lifebridge Community Physicians Inc
• Lifebridge Community Physicians, Inc
• Lifebridge Sports Medicine & Rehabilitation LLC (Lifebridge Health Physical Therapy)
• Lifekey Health LLC

• Endodontics in Timonium, MD
• Providers in Timonium, MD by specialty
• Endodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.