Liberty Dental Group

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

16705 Issued in CA

Legal business name

LIBERTY DENTAL GROUP

Practice address

6440 Brentwood Blvd Ste B
Brentwood, CA 94513-2190

Phone

(925) 634-3501

Fax

(925) 634-1539

NPI assigned

Sep 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. R. Paul Krey, D.D.S.NPI 1518970060

Title

President

Phone

(925) 634-3501

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• R. Paul Krey, DDS

  • Dentist
  • Brentwood, CA
  • NPI 1518970060
  NPD (past) Authorized official
• Emily Tung, DDS

  • General Practice Dentistry
  • Brentwood, CA
  • NPI 1013264563
  NPD (past)
• Thomas R Greene

  • General Practice Dentistry
  • Dripping Springs, TX
  • NPI 1821105388
  NPD (past)

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1992955306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 BRENTWOOD BLVD STE B",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132190",
            "telephone_number": "925-634-3501",
            "fax_number": "925-634-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 BRENTWOOD BLVD STE B",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132190",
            "telephone_number": "925-634-3501",
            "fax_number": "925-634-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "KREY",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-634-3501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "16705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Lewis, OTA
• Chao Li
• Darin Li, DPT
• Weixing Li
• Liberty Dental Group
• Liberty Union High School District
• Joshua Lieberwirth
• Lift & Transfer Specialists, Inc.
• Nathaniel Liggins Jr.
• Brian Lim

• Dental Clinic/Center in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.