Active NPI
Thor M Liebert, N.D.
- Family Medicine Physician
- Hamilton, MT
National Provider Identifier
1396996153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 115
- Practice address
- 225 S 1St St
Suite # 1
Hamilton, MT 59840-3532 - Phone
- (406) 375-1771
- Fax
- (406) 375-0990
- NPI assigned
- Oct 9, 2008
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 115 | MT | Primary |
Addresses
Primary practice location
225 S 1St St
Suite # 1
Hamilton, MT 59840-3532
Mailing address
225 S 1St St
Suite # 1
Hamilton, MT 59840-3532
Phone (406) 375-1771
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115 | MT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223510400000",
"number": "1396996153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 S 1ST ST",
"address_2": "SUITE # 1",
"city": "HAMILTON",
"state": "MT",
"postal_code": "598403532",
"telephone_number": "406-375-1771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 S 1ST ST",
"address_2": "SUITE # 1",
"city": "HAMILTON",
"state": "MT",
"postal_code": "598403532",
"telephone_number": "406-375-1771",
"fax_number": "406-375-0990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBERT",
"first_name": "THOR",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-09",
"last_updated": "2008-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.