Individual provider Active NPI

David Evans Liebeskind, D.D.S.

  • General Practice Dentistry
  • Silver Spring, MD
National Provider Identifier
1336263664
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7559 Issued in MD
Practice address
12510 Prosperity Dr
Suite 220
Silver Spring, MD 20904-1663
Phone
(301) 495-9222
Fax
(301) 495-9225
NPI assigned
Mar 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
General Practice Dentistry 1223G0001X 7559 MD Primary

Addresses

Primary practice location

12510 Prosperity Dr
Suite 220
Silver Spring, MD 20904-1663

Mailing address

12510 Prosperity Dr
Suite 220
Silver Spring, MD 20904-1663
Phone (301) 495-9222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20160706002195 MD Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4880986165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7559MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Randeep Sidhu DDS, LLC General Practice PastSince May 16, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336263664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12510 PROSPERITY DR",
            "address_2": "SUITE 220",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041663",
            "telephone_number": "301-495-9222",
            "fax_number": "301-495-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 PROSPERITY DR",
            "address_2": "SUITE 220",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041663",
            "telephone_number": "301-495-9222",
            "fax_number": "301-495-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBESKIND",
        "first_name": "DAVID",
        "middle_name": "EVANS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "7559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.