DR. GREGORY A LIBBY (NPI# 1124123005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124123005 |
| Entity Type | Individual |
| Full Name | DR. GREGORY A LIBBY |
| Credential | D.D.S. |
| Practice Address |
20950 N Tatum Blvd Ste 340 Phoenix AZ 85050-4256 |
| Practice Telephone | 4805029833 |
| Practice Fax Number | 4805029847 |
| Mailing Telephone | 4805029833 |
| Mailing Fax Number | 4805029847 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
5457 | AZ | Dental Providers |
| Street Address |
20950 N TATUM BLVD STE 340 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85050-4256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
| 1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
| 1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
| 1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
| 1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
| 1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| 1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
| 1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
| 1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
| Find all providers in zip 85050 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932238664 | Paul Frederick Marischen | Dentist | 3443 N Central Ave, Ste 700, Phoenix, AZ 85012-2208 | 2007-03-06 |
| 1245252287 | Douglas G Benting Dds Ms Pllc | Dentist | 301 East Bethany Home Rd, Suite C172, Phoenix, AZ 85012 | 2006-07-25 |
| 1902869886 | George Eric Eifler | Dentist | 11130 N. Tatum Blvd, 103, Phoenix, AZ 85028 | 2006-04-11 |
| 1326448309 | Douglas Benting | Dentist | 301 E Bethany Home Rd, Suite C-172, Phoenix, AZ 85012-1263 | 2014-08-27 |
| 1104257963 | Central Avenue Specialty, Pllc. | Dentist | 5133 N Central Ave, Suite 200, Phoenix, AZ 85012-1438 | 2013-12-04 |
| 1225182090 | Tim R Avedovech | Dentist | 4035 E Indian School Rd, Phoenix, AZ 85018-5219 | 2007-01-22 |
| 1437201373 | Patrick James Canaday | Dentist | 3201 W Peoria Ave, 0 709, Phoenix, AZ 85029 | 2007-01-18 |
| 1922178086 | Valley Dental Group, Ltd | Dentist | 4517 N 32nd St, Phoenix, AZ 85018-3339 | 2006-11-08 |
| 1528146917 | Gustavo Tapia | Dentist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2006-11-01 |
| 1205848181 | Gerald Walter Trkula | Dentist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2006-08-12 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.