NPIMap

Organization Active NPI

Anna Liberman D.D.S Inc.

  • Exclusive Provider Organization
  • Canyon Country, CA
National Provider Identifier
1447623780
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
33618 Issued in CA
Legal business name
ANNA LIBERMAN D.D.S INC.
Practice address
18507 Soledad Canyon Rd
Canyon Country, CA 91351-3722
Phone
(661) 252-0020
Fax
(661) 252-5123
NPI assigned
Nov 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Authorized official

Name
Dr. Anna Liberman, D.D.S.NPI 1447269964
Title
Dentist/Owner
Phone
(661) 252-0020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 33618 CA Primary

Addresses

Primary practice location

18507 Soledad Canyon Rd
Canyon Country, CA 91351-3722

Mailing address

18507 Soledad Canyon Rd
Canyon Country, CA 91351-3722
Phone (661) 252-0020

Other names 1

  • canyon country family dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Anna Liberman DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1447623780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18507 SOLEDAD CANYON RD",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913513722",
            "telephone_number": "661-252-0020",
            "fax_number": "661-252-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18507 SOLEDAD CANYON RD",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913513722",
            "telephone_number": "661-252-0020",
            "fax_number": "661-252-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA LIBERMAN D.D.S INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "LIBERMAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "661-252-0020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "33618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "canyon country family dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "canyon country family dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canyon Country, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.