Individual provider Active NPI

Sidney Libfraind, DMD

  • General Practice Dentistry
  • Knightdale, NC
National Provider Identifier
1023031572
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5560 Issued in NC
Practice address
106 N 1St Ave
Knightdale, NC 27545-8093
Phone
(919) 266-9286
Fax
(919) 266-0373
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5560 NC Primary

Addresses

Primary practice location

106 N 1St Ave
Knightdale, NC 27545-8093

Mailing address

PO Box 519
Knightdale, NC 27545-0519
Phone (919) 266-9286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20160106002292 NC Order and Referring Only - DentistPractitioner - Dentist 8224330329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5560NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Sidney Libfraind General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023031572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 519",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275450519",
            "telephone_number": "919-266-9286",
            "fax_number": "919-266-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N 1ST AVE",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275458093",
            "telephone_number": "919-266-9286",
            "fax_number": "919-266-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBFRAIND",
        "first_name": "SIDNEY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

Verify at the official NPI Registry.