Individual provider Active NPI

Carol Bell Lybrook, D.D.S.

  • Dentist
  • Fruita, CO
National Provider Identifier
1316060684
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7671 Issued in CO
Practice address
551 Kokopelli Ave.,Suite a
Fruita, CO 81521
Phone
(970) 858-9511
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7671 CO Primary

Addresses

Primary practice location

551 Kokopelli Ave.,Suite a
Fruita, CO 81521

Mailing address

307 Dogwood Dr
Fruita, CO 81521
Phone (970) 858-8405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150324001239 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2961729363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7671COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Valley Dental Sleep Associates,LLC Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316060684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 DOGWOOD DR",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "81521",
            "telephone_number": "970-858-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 KOKOPELLI AVE.,SUITE A",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "81521",
            "telephone_number": "970-858-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYBROOK",
        "first_name": "CAROL",
        "middle_name": "BELL",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "7671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fruita, CO

Sources for this page

Verify at the official NPI Registry.