NPIMap

Organization Active NPI

Alan M. Lieberman, D.D.S., Apc

  • Periodontics
  • Fremont, CA
National Provider Identifier
1700030541
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
23532 Issued in CA
Legal business name
ALAN M. LIEBERMAN, D.D.S., APC
Practice address
3805 Beacon Ave
Suite C
Fremont, CA 94538-1464
Phone
(510) 796-8333
NPI assigned
Nov 6, 2008
Last updated
Nov 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Mrs. Leevon June Lieberman
Title
Corporate Secretary
Phone
(510) 796-8333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 23532 CA Primary

Addresses

Primary practice location

3805 Beacon Ave
Suite C
Fremont, CA 94538-1464

Mailing address

3805 Beacon Ave
Suite C
Fremont, CA 94538-1464
Phone (510) 796-8333

National Provider Directory

National Provider Directory

Locations

3805 Beacon Ave
Ste C
Fremont, CA 94538
Phone (510) 796-8333

Practitioners & affiliated clinicians

Practitioners 2

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": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1700030541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 BEACON AVE",
            "address_2": "SUITE C",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381464",
            "telephone_number": "510-796-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 BEACON AVE",
            "address_2": "SUITE C",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381464",
            "telephone_number": "510-796-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN M. LIEBERMAN, D.D.S., APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "LEEVON",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "510-796-8333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "23532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.