Individual provider Active NPI

Annette M Leberfinger, RDH, PHDHP

  • Dental Hygienist
  • Berwick, PA
National Provider Identifier
1477196137
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
PHDH000376 Issued in PA
Practice address
107 S. Market St
Suite 2
Berwick, PA 18603
Phone
(570) 752-8753
Fax
(570) 759-6372
NPI assigned
Oct 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X PHDH000376 PA Primary

Addresses

Primary practice location

107 S. Market St
Suite 2
Berwick, PA 18603

Mailing address

107 S. Market St
Suite 2
Berwick, PA 18603
Phone (570) 752-8753

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
PHDH000376PAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Health Clinic PastSince Oct 27, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1477196137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S. MARKET ST",
            "address_2": "SUITE 2",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "18603",
            "telephone_number": "570-752-8753",
            "fax_number": "570-759-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S. MARKET ST",
            "address_2": "SUITE 2",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "18603",
            "telephone_number": "570-752-8753",
            "fax_number": "570-759-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBERFINGER",
        "first_name": "ANNETTE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RDH, PHDHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "PHDH000376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwick, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.