Samuel H Lievano, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5108 Issued in DC

Practice address

2112 F St NW
Suite 509
Washington, DC 20037-2715

Phone

(202) 728-0896

Fax

(202) 728-0798

NPI assigned

Oct 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245312479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 F ST NW",
            "address_2": "SUITE 509",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372715",
            "telephone_number": "202-728-0896",
            "fax_number": "202-728-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 F ST NW",
            "address_2": "SUITE 509",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372715",
            "telephone_number": "202-728-0896",
            "fax_number": "202-728-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEVANO",
        "first_name": "SAMUEL",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "5108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liebna Medical Consultations PLLC
• Jane E Liedtka, MD
• Reine Kamtcheu Lienou
• Connie Jo Lierman, PNP
• Kelly Liesse, MD
• Life Bridge Dental DC PLLC (Tend Dental)
• Life Building Mission Inc
• Life Care Inc.
• Life Changing Solutions, LLC
• Life Enhancement Services

• General Practice Dentistry in Washington, DC
• Providers in Washington, DC by specialty
• General Practice Dentistry in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.