Maureen Ruth Libby, DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

TX29842 Issued in TX

Practice address

115 North Loop 1604 East
Suite 2209
San Antonio, TX 78232

Phone

(210) 403-0042

Fax

(210) 403-0979

NPI assigned

Jun 30, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alfonso Monarres DDS Ms PA

  • Prosthodontics
  • San Antonio, TX
  • NPI 1629244579
  NPD (past)
• Paul M McLornan, DDS, Ms, PLLC

  • Prosthodontics
  • San Antonio, TX
  • NPI 1144591983
  NPD (past)

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1760793277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 NORTH LOOP 1604 EAST",
            "address_2": "SUITE 2209",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78232",
            "telephone_number": "210-403-0042",
            "fax_number": "210-403-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 NORTH LOOP 1604 EAST",
            "address_2": "SUITE 2209",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78232",
            "telephone_number": "210-403-0042",
            "fax_number": "210-403-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBBY",
        "first_name": "MAUREEN",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "29842",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "TX29842",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "18650",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN18650",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen Liang
• Christine Liang, M.D.
• Rui Liang, MD
• Tsai Hsuan Liao Zimdars
• Libby Rothschild LLC (Rothschild Nutrition)
• Alexis Espinal Liberato, CCC-SLP
• Liberty Provider Consulting & Credentialing (LPC&C)
• Liberty Rehabilitation Specialists Inc
• Liberty Rehabilitation Specialists Inc
• Liberty Rehabilitation Specialists Inc

• Prosthodontics in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Prosthodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.