Organization Active NPI

Liberty Orthodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lancaster, PA
National Provider Identifier
1962748962
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
LIBERTY ORTHODONTICS PC
Practice address
205 Willow Valley SQ
Lancaster, PA 17602-4860
Phone
(717) 464-0177
NPI assigned
Dec 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Authorized official

Name
Eric W Howard
Title
Orthodontist
Phone
(717) 464-0177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

205 Willow Valley SQ
Lancaster, PA 17602-4860

Mailing address

205 Willow Valley SQ
Lancaster, PA 17602-4860
Phone (717) 464-0177

National Provider Directory

National Provider Directory

Locations

205 Willow Valley Sq
Lancaster, PA 17602
Phone (717) 464-0177

NPI Registry JSON

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1962748962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WILLOW VALLEY SQ",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176024860",
            "telephone_number": "717-464-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WILLOW VALLEY SQ",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176024860",
            "telephone_number": "717-464-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "717-464-0177"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.