Active NPI
John Michael Libke, D.D.S.
- General Practice Dentistry
- Reno, NV
National Provider Identifier
1225176571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1099
- Practice address
- 1720 Hunter Creek Rd
Reno, NV 89519-0679 - Phone
- (775) 787-7179
- NPI assigned
- Feb 1, 2007
- Last updated
- Feb 15, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1099 | NV | Primary |
Addresses
Primary practice location
1720 Hunter Creek Rd
Reno, NV 89519-0679
Mailing address
1720 Hunter Creek Rd
Reno, NV 89519-0679
Phone (775) 787-7179
Other names 1
- Dr. J. Michael Libke
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1099 | NV | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234656000000",
"number": "1225176571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 HUNTER CREEK RD",
"city": "RENO",
"state": "NV",
"postal_code": "895190679",
"telephone_number": "775-787-7179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 HUNTER CREEK RD",
"city": "RENO",
"state": "NV",
"postal_code": "895190679",
"telephone_number": "775-787-7179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBKE",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2009-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "1099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "J.",
"last_name": "LIBKE",
"middle_name": "MICHAEL",
"prefix": "DR.",
"credential": "D,D,S,",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.