Active NPI
Dionisio Teng Libi
- Facial Plastic Surgery Physician
- Fargo, ND
National Provider Identifier
1255680187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- 2943
- Practice address
- 5005 Meadow Creek Dr S
Fargo, ND 58104-7118 - Phone
- (701) 235-0414
- Fax
- (701) 235-0414
- NPI assigned
- Sep 6, 2012
- 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 |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 2943 | ND | Primary |
Addresses
Primary practice location
5005 Meadow Creek Dr S
Fargo, ND 58104-7118
Mailing address
5005 Meadow Creek Drive
Fargo, ND 58104
Phone (701) 235-0414
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2943 | ND | MD | Facial Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1255680187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5005 MEADOW CREEK DRIVE",
"city": "FARGO",
"state": "ND",
"postal_code": "58104",
"telephone_number": "701-235-0414",
"fax_number": "701-235-0414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 MEADOW CREEK DR S",
"city": "FARGO",
"state": "ND",
"postal_code": "581047118",
"telephone_number": "701-235-0414",
"fax_number": "701-235-0414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBI",
"first_name": "DIONISIO",
"middle_name": "TENG",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-06",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "ND",
"license": "2943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.