Liliana Esther Difabio, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17685 Issued in MA

Practice address

56 Bennington St
Boston, MA 02128-1704

Phone

(617) 569-0021

Fax

(617) 567-2949

NPI assigned

May 26, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Liliana E. Difabio, DMD, PC

  • Dental Clinic/Center
  • East Boston, MA
  • NPI 1508055245
  NPD (past) Authorized official

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

{
    "created_epoch": "1180137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790996940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 BENNINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021281704",
            "telephone_number": "617-569-0021",
            "fax_number": "617-567-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 BENNINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021281704",
            "telephone_number": "617-569-0021",
            "fax_number": "617-567-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFABIO",
        "first_name": "LILIANA",
        "middle_name": "ESTHER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0273198",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Adriana Dietmann, PSYD
• Christopher Dietrich
• Jorg Dietrich, MD PHD
• Isabelle Dieu, PHARMD
• Emily Diezemann
• Paul Difanti Jr., LMHC
• Rachel L Difazio, NP
• Michelle Cecelia Difelice
• Alyssa Difilippo
• Kathryn E Difiore, NP

• General Practice Dentistry in Boston, MA
• Providers in Boston, MA by specialty
• General Practice Dentistry in Massachusetts

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.