Kelley Suzanne Lybrand, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

7629 Issued in NC

Practice address

1851 Wellness Blvd
Monroe, NC 28110-7774

Phone

(704) 291-7333

Fax

(704) 292-1203

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2026 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Patty,Lybrand & Ricciutti DDS PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Charlotte, NC
  • NPI 1861534950
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1265515399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 WELLNESS BLVD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107774",
            "telephone_number": "704-291-7333",
            "fax_number": "704-292-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 WELLNESS BLVD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107774",
            "telephone_number": "704-291-7333",
            "fax_number": "704-292-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYBRAND",
        "first_name": "KELLEY",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "DID19.ID",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "7629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxwell Luciano
• Cortney M. Luegers
• Angelica Lugo
• Teresa Luisa, LPN
• Luz a Chavez DDS PC
• M&M Serenity Adult Day Care
• Chelsea Perrine Mabey, MS, CCC-SLP
• Ivan Mac, MD
• Teresa King Mace, MA CCC-SLP
• Victoria Mackay, M.S. ED CCC-SLP

• Oral and Maxillofacial Surgery (Dentist) in Monroe, NC
• Providers in Monroe, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.