Individual provider Active NPI

Jennifer Marie Libling, D.D.S.

  • General Practice Dentistry
  • Saginaw, TX
National Provider Identifier
1477846137
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26474 Issued in TX
Practice address
1100 N. Blue Mound Rd
Suite 100
Saginaw, TX 76131-4902
Phone
(682) 231-2764
NPI assigned
May 26, 2011
Last updated
Nov 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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 26474 TX Primary

Addresses

Primary practice location

1100 N. Blue Mound Rd
Suite 100
Saginaw, TX 76131-4902

Mailing address

801 Durham CT
Southlake, TX 76092-8621
Phone (718) 483-1838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160204001430 TX Order and Referring Only - DentistPractitioner - Dentist 0244534626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26474TXMDGeneral Practice Dentistry

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1477846137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 DURHAM CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760928621",
            "telephone_number": "718-483-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N. BLUE MOUND RD",
            "address_2": "SUITE 100",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761314902",
            "telephone_number": "682-231-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBLING",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, TX

Sources for this page

Verify at the official NPI Registry.