Libby Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LIBBY DENTAL

Practice address

2333 Camino del Rio S Ste 310
San Diego, CA 92108-3615

Phone

(619) 276-6884

Fax

(619) 431-5354

NPI assigned

Aug 5, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Martha A Cooper

Title

Insurance Coordinator

Phone

(907) 947-7193

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1154976348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 CAMINO DEL RIO S STE 310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083615",
            "telephone_number": "619-276-6884",
            "fax_number": "619-431-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 CAMINO DEL RIO S STE 310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083615",
            "telephone_number": "619-276-6884",
            "fax_number": "619-431-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBBY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "907-947-7193",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Janelle Liban-Menkes, RN
• Edgardo Cano Liban, RN
• Trysh Sacro Libao, CCC-SLP
• Alicea Merete Libbey
• Christine Libbey, PH.D.
• Edward Norton Libby, MD
• Libby, Marongiu and Spencer Dental
• Natashia Libby
• Tiffany Nicole Libby
• Brianna Carin Liberman

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.