Individual provider Active NPI

Mark Edmund Liberati, DDS

  • Dentist
  • Homestead, PA
National Provider Identifier
1104865542
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS-024513-L Issued in PA
Practice address
125 E 8TH Ave
Homestead, PA 15120-1503
Phone
(412) 461-8255
Fax
(412) 461-8256
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS-024513-L PA Primary

Addresses

Primary practice location

125 E 8TH Ave
Homestead, PA 15120-1503

Mailing address

125 E 8TH Ave
Homestead, PA 15120-1503
Phone (412) 461-8255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150415001501 PA Order and Referring Only - DentistPractitioner - Dentist 0244558641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquil Nights Inc PastSince Jul 21, 2017 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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104865542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E 8TH AVE",
            "city": "HOMESTEAD",
            "state": "PA",
            "postal_code": "151201503",
            "telephone_number": "412-461-8255",
            "fax_number": "412-461-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E 8TH AVE",
            "city": "HOMESTEAD",
            "state": "PA",
            "postal_code": "151201503",
            "telephone_number": "412-461-8255",
            "fax_number": "412-461-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERATI",
        "first_name": "MARK",
        "middle_name": "EDMUND",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS-024513-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, PA

Sources for this page

Verify at the official NPI Registry.