Caitlin Libby, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DS043477 Issued in PA

Practice address

103 W Grove St
Clarks Summit, PA 18411-2062

Phone

(570) 587-4787

NPI assigned

Sep 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Joseph T. Kelly DMD PC

  • Dentist
  • Clarks Summit, PA
  • NPI 1679682751
  NPD (past)

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1073095030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W GROVE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184112062",
            "telephone_number": "570-587-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W GROVE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184112062",
            "telephone_number": "570-587-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBBY",
        "first_name": "CAITLIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "4342",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "DS043477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan C Lee, M.D.
• Legg Counseling & Consulting Services, LLC
• Timothy James Legg, PHD, PSYD, CRNP
• Erica Marie Lepito, LCSW
• Susan D Levin, MA, LPC, NCC, CCMHC
• Timothy Lionetti, PH.D.
• John Lisiak Jr., D.O.
• Loh Enterprises, LLC
• Lourdesmont Behavioral Health Services
• Luchansky Psychological Services LLC

• Prosthodontics in Clarks Summit, PA
• Providers in Clarks Summit, PA by specialty
• Prosthodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.