Lisa Lee Tiberi, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0425171 Issued in NY

Practice address

14 N Chatsworth Ave
Larchmont, NY 10538-2142

Phone

(914) 834-4047

Fax

(914) 834-6511

NPI assigned

Nov 14, 2007

Sex

Female

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 NY

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

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1023298452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 N CHATSWORTH AVE",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382142",
            "telephone_number": "914-834-4047",
            "fax_number": "914-834-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 N CHATSWORTH AVE",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382142",
            "telephone_number": "914-834-4047",
            "fax_number": "914-834-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBERI",
        "first_name": "LISA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0425171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Ann Tanenbaum, PH.D, CSW
• William Tarrant
• Mina Ebrahiem Thaofelis, PT
• The Mind Wellness Connection LCSW PLLC
• Tiffany Thomas
• Lori Toppi, RN
• Kieran Joseph Traynor, PT, MS
• Nancy E. Trommer-Thaul II, M.S.
• John Stuart Turtz, PH.D.
• Lisa Turtz, MD

• General Practice Dentistry in Larchmont, NY
• Providers in Larchmont, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.