Maria Juvy Roque Libao, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56827 Issued in CA

Practice address

2500 Main St
Red Bluff, CA 96080-2336

Phone

(530) 529-2567

NPI assigned

Feb 16, 2008

Sex

Female

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

Enrolled in PA

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

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.

• Northern Valley Indian Health, Inc

  • Clinic/Center
  • Red Bluff, CA
  • NPI 1588799449
  NPD (past)

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

{
    "created_epoch": "1203120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1013185636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 BALZAC CT",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960039330",
            "telephone_number": "530-222-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MAIN ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802336",
            "telephone_number": "530-529-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBAO",
        "first_name": "MARIA JUVY",
        "middle_name": "ROQUE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-16",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Legacy Care Homes LLC
• Meghan C Leininger, DO
• Rory P Lengtat, DC
• April Lewis, MHRS
• Thomas Edward Lewis, DDS
• Trent Light
• Cindy Listoe, R.D.H.
• Barbara Kathlene Littleton, LVN
• Live for Yourself Foundation
• Gail L. Locke, R.D.

• General Practice Dentistry in Red Bluff, CA
• Providers in Red Bluff, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.