Elisa S. Liberto, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

RIDEN02410 Issued in RI

Practice address

67 Jefferson Blvd
Warwick, RI 02888-1053

Phone

(401) 781-8696

Fax

(401) 781-8698

NPI assigned

Apr 3, 2007

Sex

Female

Sole proprietor

Yes

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 RI

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

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649392606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 JEFFERSON BLVD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028881053",
            "telephone_number": "401-781-8696",
            "fax_number": "401-781-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 JEFFERSON BLVD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028881053",
            "telephone_number": "401-781-8696",
            "fax_number": "401-781-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERTO",
        "first_name": "ELISA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "RIDEN02410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Irene Levy-Lachance, PA-C
• Naveh Levy, M.D.
• Jillian Lewis, PT
• Peter James Lewis, DPM
• Emily Liakos, FNP-C
• Karissa M Libutti
• Katherine Jane Licciardello
• Lindsay M Lichtenfels, PA-C
• Life Force Hypnosis, LLC
• Lifespan Physician Group, Inc.

• General Practice Dentistry in Warwick, RI
• Providers in Warwick, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.