NPIMap

Organization Active NPI

Warren J Libman DDS,MSD,PS

  • Prosthodontics
  • Bellevue, WA
National Provider Identifier
1679750103
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DE00006524 Issued in WA
Legal business name
WARREN J LIBMAN DDS,MSD,PS
Practice address
14595 Bel Red Rd
#100
Bellevue, WA 98007-3928
Phone
(425) 453-1308
Fax
(425) 378-3489
NPI assigned
Jan 28, 2008
Last updated
Jan 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Dr. Warren Jay :Libman, DDS,MSD,PSNPI 1154478097
Title
Dentist
Phone
(425) 453-1308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X DE00006524 WA Primary

Addresses

Primary practice location

14595 Bel Red Rd
#100
Bellevue, WA 98007-3928

Mailing address

14595 Bel Red Rd
#100
Bellevue, WA 98007-3928
Phone (425) 453-1308

National Provider Directory

National Provider Directory

Locations

14595 NE Bel Red Rd
Ste 100
Bellevue, WA 98007
Phone (425) 453-1308

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1679750103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14595 BEL RED RD",
            "address_2": "#100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073928",
            "telephone_number": "425-453-1308",
            "fax_number": "425-378-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14595 BEL RED RD",
            "address_2": "#100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073928",
            "telephone_number": "425-453-1308",
            "fax_number": "425-378-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN J LIBMAN DDS,MSD,PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": ":LIBMAN",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-453-1308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MSD,PS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "WA",
            "license": "DE00006524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.