Pinebrook Dental Care Corp Dental Office of Diane C. Liberty, DDS Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53377 Issued in CA

Legal business name

PINEBROOK DENTAL CARE CORP DENTAL OFFICE OF DIANE C. LIBERTY, DDS CORP

Practice address

8008 Folsom Auburn Rd
Folsom, CA 95630-1664

Phone

(916) 988-7790

Fax

(916) 988-5447

NPI assigned

Jan 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Diane B Carandang-Liberty, DDSNPI 1235153594

Title

President/Owner

Phone

(916) 988-7790

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane B Carandang-Liberty, DDS

  • General Practice Dentistry
  • Folsom, CA
  • NPI 1235153594
  NPD (past) Authorized official
• Christina Thi Duong, DDS

  • General Practice Dentistry
  • Folsom, CA
  • NPI 1386259455
  NPD (past)

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

{
    "created_epoch": "1263600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263600000000",
    "number": "1407187388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 FOLSOM AUBURN RD",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956301664",
            "telephone_number": "916-988-7790",
            "fax_number": "916-988-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 FOLSOM AUBURN RD",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956301664",
            "telephone_number": "916-988-7790",
            "fax_number": "916-988-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEBROOK DENTAL CARE CORP DENTAL OFFICE OF DIANE C. LIBERTY, DDS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-16",
        "last_updated": "2010-01-16",
        "status": "A",
        "authorized_official_last_name": "CARANDANG-LIBERTY",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "916-988-7790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nayah Phetdara
• Philip J Orisek, M.D. Inc.
• Corrie Deann Phipps, SLPA
• Darcy Pierce
• Kaylee Pimentel
• Geetha Pingili, MD
• Alexis Pinkney
• Eunice Akuinotsokan Pinnick
• Evan Pipion
• Reza Pirsaheli, MD

• General Practice Dentistry in Folsom, CA
• Providers in Folsom, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2010; 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.