Organization Active NPI

Liberty Dental of Maplebrook, LTD.

Doing business as Maplebrook Dental

  • General Practice Dentistry
  • Naperville, IL
National Provider Identifier
1225468572
Registry record updated Nov 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.028816 Issued in IL
Legal business name
LIBERTY DENTAL OF MAPLEBROOK, LTD.
Doing business as
Maplebrook Dental
Practice address
363 E Bailey Rd
Naperville, IL 60565-1415
Phone
(331) 588-1716
NPI assigned
Nov 24, 2013
Last updated
Nov 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2013

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

Authorized official

Name
Dr. Shehbaz Shareef, D.M.D
Title
President
Phone
(331) 588-1716

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.028816 IL Primary
General Practice Dentistry 1223G0001X 019.028852 IL

Addresses

Primary practice location

363 E Bailey Rd
Naperville, IL 60565-1415

Mailing address

363 E Bailey Rd
Naperville, IL 60565-1415
Phone (331) 588-1716

Other names 1

  • Maplebrook Dental Doing business as

National Provider Directory

National Provider Directory

Locations

363 E Bailey Rd
Naperville, IL 60565
Phone (331) 588-1716

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1385251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385251200000",
    "number": "1225468572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 E BAILEY RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605651415",
            "telephone_number": "331-588-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 E BAILEY RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605651415",
            "telephone_number": "331-588-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY DENTAL OF MAPLEBROOK, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-24",
        "last_updated": "2013-11-24",
        "status": "A",
        "authorized_official_last_name": "SHAREEF",
        "authorized_official_first_name": "SHEHBAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "331-588-1716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.028816",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.028852",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maplebrook Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2013; 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.