Active NPI
Adam Ross Liberman, DMD
- Dentist
- Colorado Springs, CO
National Provider Identifier
1548650948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN.00008057
- Practice address
- 120 W Monroe St
Colorado Springs, CO 80907-6709 - Phone
- (303) 902-6220
- NPI assigned
- Jan 23, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | MODS.2766557 | CO | |
| Dentist | 122300000X | DN19771 | MA | |
| Dental Hygienist | 124Q00000X | DH11262 | MA | |
| Dentist | 122300000X | DEN.00008057 | CO | Primary |
Addresses
Primary practice location
120 W Monroe St
Colorado Springs, CO 80907-6709
Mailing address
120 W Monroe St
Colorado Springs, CO 80907-6709
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 |
|---|---|---|---|
| DEN.00008057 | CO | MD | Dentist |
| MODS.2766557 | CO | MD | Dentist |
| DN19771 | MA | MD | Dentist |
| DH11262 | MA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541721600000",
"number": "1548650948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W MONROE ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809076709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W MONROE ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809076709",
"telephone_number": "303-902-6220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBERMAN",
"first_name": "ADAM",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-23",
"last_updated": "2018-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "MODS.2766557",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN19771",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MA",
"license": "DH11262",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN.00008057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.