Active NPI
David a. Lieb
- Durable Medical Equipment & Medical Supplies
- Frederick, MD
National Provider Identifier
1043496730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 01104
- Legal business name
- DAVID A. LIEB
- Practice address
- 10 Hillcrest Dr
Suite 25
Frederick, MD 21703-6107 - Phone
- (301) 695-1010
- Fax
- (301) 695-1010
- NPI assigned
- Jan 14, 2008
- Organization subpart
- Yes
- Parent organization
- DAVID A LIEB
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David A Lieb, DPM
- Title
- Owner
- Phone
- (301) 695-1010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 01104 | MD | Primary |
Addresses
Primary practice location
10 Hillcrest Dr
Suite 25
Frederick, MD 21703-6107
Mailing address
10 Hillcrest Dr
Suite 25
Frederick, MD 21703-6107
Phone (301) 695-1010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043496730 | Other | MD | FACILITY NPI |
| 083088700 | Medicaid | MD |
Other names 1
- Family Foot Care
National Provider Directory
National Provider Directory- Part of
- David a Lieb
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260403200000",
"number": "1043496730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 HILLCREST DR",
"address_2": "SUITE 25",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217036107",
"telephone_number": "301-695-1010",
"fax_number": "301-695-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 HILLCREST DR",
"address_2": "SUITE 25",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217036107",
"telephone_number": "301-695-1010",
"fax_number": "301-695-1010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID A. LIEB",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DAVID A LIEB",
"enumeration_date": "2008-01-14",
"last_updated": "2009-12-10",
"status": "A",
"authorized_official_last_name": "LIEB",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-695-1010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MD",
"license": "01104",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY NPI",
"identifier": "1043496730",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "083088700",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Foot Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.