Lewis Simpson Libby III, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

06161 Issued in MD

Practice address

7600 Osler Dr
Ste 100
Towson, MD 21204-7705

Phone

(410) 321-1144

Fax

(410) 321-1162

NPI assigned

Jun 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

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: llibby929009@direct.hopkinsmedicine.org

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.

• CJC-DDS LLC

  dba Osler Dental Professionals

  • Dental Clinic/Center
  • Towson, MD
  • NPI 1669944138
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1508861626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 OSLER DR",
            "address_2": "STE 100",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047705",
            "telephone_number": "410-321-1144",
            "fax_number": "410-321-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 OSLER DR",
            "address_2": "STE 100",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047705",
            "telephone_number": "410-321-1144",
            "fax_number": "410-321-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBBY",
        "first_name": "LEWIS",
        "middle_name": "SIMPSON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "06161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xin Li
• Liao Acupuncture Group, LLC
• Albert Liao, L.AC.
• Albert Y Liauw, M.D.
• Nicole Libbey
• Lice Clinics of Maryland, LLC
• Larry Howard Lickstein, MD
• Dmitry Liepinsh, MD
• Life Bridge Home Health
• Life Counseling Transitions LLC

• General Practice Dentistry in Towson, MD
• Providers in Towson, 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 Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.