Nicholas E Liakas, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D12628 Issued in NJ

Practice address

576 Main St
Chatham, NJ 07928-2119

Phone

(973) 635-8843

Fax

(973) 635-3348

NPI assigned

Apr 9, 2008

Sex

Male

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 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

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.

• Chatham Dental Studio

  • General Practice Dentistry
  • Chatham, NJ
  • NPI 1649987652
  NPD (past)

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1033382189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 MAIN ST",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282119",
            "telephone_number": "973-635-8843",
            "fax_number": "973-635-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 MAIN ST",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282119",
            "telephone_number": "973-635-8843",
            "fax_number": "973-635-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAKAS",
        "first_name": "NICHOLAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "D12628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Lee, M.D.
• Beverly P Levine, MSW
• Michele Robyn Levine, R.PH.
• Camri Lewis
• Neal E Leynor, PH.D.
• Mara Fran Lieberman, OTR/L
• Lily Pelvic Health, LLC
• Deidre L Limongelli, MS, OTR/L
• Matthew Ivan Lipp, MD
• Heather Littlejohn, LCSW

• Dentist in Chatham, NJ
• Providers in Chatham, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.