Lionel Noel Vera-Caraballo, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

058924 Issued in NY

Practice address

37 Triangle Rd
Liberty, NY 12754-3371

Phone

(845) 292-3900

NPI assigned

May 8, 2014

Last updated

May 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Big Little Smiles Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Brooklyn, NY
  • NPI 1114635331
  NPD Authorized official
• Big Little Smiles Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Stamford, CT
  • NPI 1174132880
  NPD Authorized official
• Exceldent Dental of Western Sullivan LLP

  • Dentist
  • Liberty, NY
  • NPI 1245529874
  NPD (past)

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653177600000",
    "number": "1932510211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 TRIANGLE RD",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127543371",
            "telephone_number": "596-602-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 TRIANGLE RD",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127543371",
            "telephone_number": "845-292-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "274 Via de la Vereda",
            "address_2": "Vallw San Luis",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "00725",
            "country_code": "US",
            "telephone_number": "787-972-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERA-CARABALLO",
        "first_name": "LIONEL",
        "middle_name": "NOEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-08",
        "last_updated": "2022-05-22",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "12424",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "058924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iris Robin Turtz, LMSW
• Elise Ulaj, COTA/L
• Michael Alan Valenti
• Rachel Annamae Van Tuyl, LMSW
• Sharon Vandunk, RN
• Margaret Catherine Voliva, RN
• Alexandra Nestora Voukitchevitch, LMSW
• Walgreen Co (Walgreens #19811)
• Sarah Walker
• Samantha Laura Lee Walton, PHARM.D.

• Pediatric Dentistry in Liberty, NY
• Providers in Liberty, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2022; 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.