Barry Ray Liebman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

012299 Issued in MO

Practice address

2552 Lemay Ferry Road
St. Louis, MO 63125

Phone

(314) 845-3100

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1609824192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2552 LEMAY FERRY ROAD",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63125",
            "telephone_number": "314-845-3100",
            "fax_number": "314-963-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2552 LEMAY FERRY ROAD",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63125",
            "telephone_number": "314-845-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBMAN",
        "first_name": "BARRY",
        "middle_name": "RAY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "12299",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "012299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Michael Lider, PHARMD
• Adam P Liebendorfer, MD
• Susan Lieberman
• Jessica Ann Liebich, MD
• Kristen M Liebig, CRNA
• Katherine Liebman, AGNP
• Stephanie Erica Liebmann, M.D.
• Andrea Lynette Liefer, CRNA
• Kate Elizabeth Liefer, RN
• Kristy R Liefer, NP

• General Practice Dentistry in St. Louis, MO
• Providers in St. Louis, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.