Warren David Libby, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

1180 Issued in AK

Practice address

1000 Omalley Rd
Suite 105
Anchorage, AK 99515-3032

Phone

(907) 349-1951

Fax

(907) 349-5107

NPI assigned

May 10, 2006

Last updated

Oct 25, 2024By 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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1972553246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 OMALLEY RD",
            "address_2": "SUITE 105",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153032",
            "telephone_number": "907-349-1951",
            "fax_number": "907-349-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 OMALLEY RD",
            "address_2": "SUITE 105",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153032",
            "telephone_number": "907-349-1951",
            "fax_number": "907-349-5107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Upland St",
            "address_purpose": "LOCATION",
            "city": "Kenai",
            "state": "AK",
            "postal_code": "996118026",
            "country_code": "US",
            "telephone_number": "907-335-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIBBY",
        "first_name": "WARREN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "1180",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AK",
            "license": "1180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "1760650",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003520",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD4125",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• LHCG Clxxxi, LLC
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• Justin Libby, D.D.S.
• Katrina Ronsse Libby, P.T.
• Stephen Libby, DDS
• Christina Margaret Libert, DPT
• Elke Belle Angelle Liberti, LMT
• Liberty Dialysis - Ahp LLC
• Liberty Dialysis - Alaska LLC
• Jennifer Lichtenberg, DNP-A

• Orthodontics and Dentofacial Orthopedics Dentistry in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.