Active NPI
Chad Libraty
- Dentist
- Hollywood, FL
National Provider Identifier
1497169601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 016.0130276
- Practice address
- 4750 Sarazen Dr
Hollywood, FL 33021-2346 - Phone
- (954) 336-7729
- NPI assigned
- Jun 16, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 016.0130276 | VT | Primary |
Addresses
Primary practice location
4750 Sarazen Dr
Hollywood, FL 33021-2346
Mailing address
25 Bishop Ave.
P.O. Box 1277
Willsiton, VT 05495
Phone (802) 878-1170
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
| License | State | Type | Specialty |
|---|---|---|---|
| 016.0130276 | VT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleepifymd, LLC | Dentist | Current | 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": "1402876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502928000000",
"number": "1497169601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 BISHOP AVE.",
"address_2": "P.O. BOX 1277",
"city": "WILLSITON",
"state": "VT",
"postal_code": "05495",
"telephone_number": "802-878-1170",
"fax_number": "802-872-7139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 SARAZEN DR",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330212346",
"telephone_number": "954-336-7729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBRATY",
"first_name": "CHAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-16",
"last_updated": "2017-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VT",
"license": "016.0130276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.