Robert Marc Lieder, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13449 Issued in MD

Practice address

6609 Park Heights Avenue
Baltimore, MD 21215

Phone

(410) 764-3400

Fax

(410) 764-3401

NPI assigned

Dec 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Rephoel Meir Lieder Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1508842220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 PARK HEIGHTS AVENUE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21215",
            "telephone_number": "410-764-3400",
            "fax_number": "410-764-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 PARK HEIGHTS AVENUE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21215",
            "telephone_number": "410-764-3400",
            "fax_number": "410-764-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEDER",
        "first_name": "ROBERT",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REPHOEL",
            "last_name": "LIEDER",
            "middle_name": "MEIR",
            "prefix": "DR.",
            "credential": "D.D.S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Goldie B Liebes, MS CCC-SLP
• Rebecca Liebes
• David Benson Liebman, RPH
• Renee Ann Liebnow
• Elana Liebow-Feeser
• Yocheved Lieder, MSW
• Jaime Lievano, M.D.
• Scott D Lifchez, M.D.
• Life and Light Healthcare Services LLC
• Life and Light Therapy Services

• General Practice Dentistry in Baltimore, MD
• Providers in Baltimore, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.