Libia R. Rios DDS Prof Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

License

58463 Issued in CA

Legal business name

LIBIA R. RIOS DDS PROF DENTAL CORP

Practice address

1184 W 2ND St Ste 114
San Bernardino, CA 92410-1735

Phone

(909) 889-7787

Fax

(909) 889-2022

NPI assigned

Aug 6, 2010

Last updated

May 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Libia R Rios, DDS

Title

Dentist/Owner

Phone

(786) 378-1906

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hyun June Kim, DDS

  • General Practice Dentistry
  • San Bernardino, CA
  • NPI 1760797815
  NPD (past)

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1346555976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1184 W 2ND ST STE 114",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924101735",
            "telephone_number": "909-889-7787",
            "fax_number": "909-889-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1184 W 2ND ST STE 114",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924101735",
            "telephone_number": "909-889-7787",
            "fax_number": "909-889-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBIA R. RIOS DDS PROF DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-06",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "LIBIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "786-378-1906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "58463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxwell Li
• Qiuyue Li
• Tao Li, DDS
• Oloruntoyin K. Liadi
• Hungchi Liao, DDS, MSD
• Mariela Licon, LCSW
• Jasmine Sharee Liddell
• Kelly Liebel
• Samantha Liebel, LVN
• Life Alert Homecare Supplies, Inc.

• Dentist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.