Individual provider Active NPI

Anne Liberatore Lemak, DMD

  • Dental Anesthesiology
  • Murrysville, PA
National Provider Identifier
1164681664
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
DA031626 Issued in PA
Practice address
3405 Lake Ridge Dr
Murrysville, PA 15668-1583
Phone
(412) 779-4073
Fax
(412) 945-6107
NPI assigned
Jun 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS036555 PA
Dental Anesthesiology 1223D0004X DA031626 PA Primary

Addresses

Primary practice location

3405 Lake Ridge Dr
Murrysville, PA 15668-1583

Mailing address

3405 Lake Ridge Dr
Murrysville, PENNSYLVANIA 15668
UM
Phone (412) 779-4073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS036555PAMDDentist
DA031626PAMDDentist Anesthesiologist

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1164681664",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "3405 LAKE RIDGE DR",
            "city": "MURRYSVILLE",
            "state": "PENNSYLVANIA",
            "postal_code": "15668",
            "telephone_number": "412-779-4073",
            "fax_number": "412-945-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 LAKE RIDGE DR",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681583",
            "telephone_number": "412-779-4073",
            "fax_number": "412-945-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMAK",
        "first_name": "ANNE",
        "middle_name": "LIBERATORE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS036555",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "PA",
            "license": "DA031626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrysville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.