Matthew a Liebentritt, DO

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MATTHEW A LIEBENTRITT, DO

Practice address

5706 Aspen Creek Dr
Broomfield, CO 80020-3943

Phone

(303) 829-5105

Fax

(303) 927-7835

NPI assigned

Jun 2, 2008

Organization subpart

No

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

Authorized official

Name

Matthew A Liebentritt, DONPI 1053488007

Title

Owner

Phone

(303) 839-5105

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Aaron Liebentritt, D.O.

  • Family Medicine Physician
  • Broomfield, CO
  • NPI 1053488007
  NPD (past) Authorized official

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1629237052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5706 ASPEN CREEK DR",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800203943",
            "telephone_number": "303-829-5105",
            "fax_number": "303-927-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5706 ASPEN CREEK DR",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800203943",
            "telephone_number": "303-829-5105",
            "fax_number": "303-927-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW A LIEBENTRITT, DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "LIEBENTRITT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-839-5105",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95057021",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Mason, PHD
• Jamie Mason, DDS
• Brittany Masters
• Renee Masukawa
• Lyndon Mata, D.D.S.
• Morgan J Matthews, AAHCC, BIRTH DOULA
• Nancy Kae Matthews, PT
• Raquele Maurer, L.AC.
• Judy Maxfield, MT
• Kerstin Violet May-Higgins, EEG

• Primary Care Clinic/Center in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.