The Libby Group L.L.C.

Primary specialty

DentistTaxonomy code 122300000X

License

1469 Issued in AK

Legal business name

THE LIBBY GROUP L.L.C.

Practice address

3920 Lake Otis Pkwy Ste a
Anchorage, AK 99508-5210

Phone

(907) 274-2659

Fax

(907) 277-4782

NPI assigned

May 21, 2015

Last updated

May 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Justin Christopher Libby, D.D.S.NPI 1245510155

Title

Dentist

Phone

(907) 274-2659

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin Libby, D.D.S.

  • Dentist
  • Anchorage, AK
  • NPI 1245510155
  NPD (past) Authorized official
• Kyle E Howell, DMD

  • General Practice Dentistry
  • Anchorage, AK
  • NPI 1588003008
  NPD (past)

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1487033510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 LAKE OTIS PKWY STE A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085210",
            "telephone_number": "907-274-2659",
            "fax_number": "907-277-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 LAKE OTIS PKWY STE A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085210",
            "telephone_number": "907-274-2659",
            "fax_number": "907-277-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIBBY GROUP L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "LIBBY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "907-274-2659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AK",
            "license": "1469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.