Individual provider Active NPI

James Nelson Liemberger, D.D.S.

  • General Practice Dentistry
  • East Amherst, NY
National Provider Identifier
1407984289
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
035381 Issued in NY
Practice address
8262 Old Post Rd E
East Amherst, NY 14051-1584
Phone
(716) 741-9790
Fax
(716) 741-5147
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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 035381 NY Primary

Addresses

Primary practice location

8262 Old Post Rd E
East Amherst, NY 14051-1584

Mailing address

8262 Old Post Rd E
East Amherst, NY 14051-1584
Phone (716) 741-9790

Other identifiers 1

IdentifierTypeStateIssuer
00732018MedicaidNY

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

LicenseStateTypeSpecialty
035381NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1407984289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8262 OLD POST RD E",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511584",
            "telephone_number": "716-741-9790",
            "fax_number": "716-741-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8262 OLD POST RD E",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511584",
            "telephone_number": "716-741-9790",
            "fax_number": "716-741-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEMBERGER",
        "first_name": "JAMES",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "035381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00732018",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.