NISA KEANE LIBERTY DDS
NPI 1942862982
Dentist - General Practice in Folsom, CA

Active since June 29, 2019
8008 FOLSOM AUBURN RD, FOLSOM, CA 95630(916) 517-8188 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nisa Keane Liberty Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NISA KEANE LIBERTY DDS (NPI 1942862982) is an individual general practice provider in Folsom, California, licensed in California (105107) and active in the NPI registry since June 2019. She maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1942862982
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameNISA KEANE LIBERTYCredential: DDS
Location Address8008 FOLSOM AUBURN RDFolsom, CA 95630-1664
Mailing Address8008 Folsom Auburn RdFolsom, CA 95630-1664 · (916) 517-8188
Sole ProprietorNo
Enumeration DateJune 29, 2019
Last NPPES UpdateNovember 17, 2020
NPPES CertifiedSeptember 22, 2020
NPI 1942862982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 105107
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
8008 FOLSOM AUBURN RD, Folsom, CA 95630

Secondary Practice Location 1

Location 12851 University AveGreen Bay, WI 54311-5855 · Phone (920) 431-2500

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
8008 FOLSOM AUBURN RD
FOLSOM, CA 95630
Dentist (General Practice)
8008 FOLSOM AUBURN RD
FOLSOM, CA 95630
Dentist (General Practice)
8008 FOLSOM AUBURN RD
FOLSOM, CA 95630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nisa Liberty's NPI number?

The NPI number for Nisa Liberty is 1942862982. It was assigned to this individual provider in the NPPES registry on June 29, 2019.

Where is Nisa Liberty located?

Nisa Liberty practices at 8008 Folsom Auburn Rd, Folsom, CA 95630. The listed phone number is (916) 517-8188.

What is Nisa Liberty's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Nisa Liberty accept?

Health plans from BEST Life, HRI Dental & Vision, Humana, Paramount and Renaissance Dental and 1 other insurer list Nisa Liberty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nisa Liberty was last updated on November 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.