DR. KEVIN JOSEPH LIBERKO D.D.S.
NPI 1962850545
Dentist in Edina, MN

Q: What is Kevin Liberko's NPI number?

The NPI number for Kevin Liberko is 1962850545. It was assigned to this individual provider in the NPPES registry on May 24, 2016.

Q: What is Kevin Liberko's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Liberko was last updated on May 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 24, 2016PECOS Enrolled

5101 VERNON AVE S, SUITE 1B, EDINA, MN 55436(952) 920-9579(952) 920-9298 Get Directions Write a Review

NPPES record last updated: May 24, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Kevin Joseph Liberko D.d.s. NPPES

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

DR. KEVIN JOSEPH LIBERKO D.D.S. (NPI 1962850545) is an individual dentist in Edina, Minnesota, licensed in Minnesota (D13662) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962850545

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. KEVIN JOSEPH LIBERKOCredential: D.D.S.

Location Address5101 VERNON AVE S, SUITE 1BEdina, MN 55436-2172

Mailing Address5101 Vernon Ave S, Suite 1bEdina, MN 55436-2172 · (952) 920-9579 · Fax (952) 920-9298

Phone(952) 920-9579

Fax(952) 920-9298

Sole ProprietorNo

Enumeration DateMay 24, 2016

✔ NPI 1962850545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MN · D13662

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

5101 VERNON AVE S, Edina, MN 55436

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Joseph Liberko D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55436 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

PAN ORTHODONTIC CLINICS

Dentist (Orthodontics and Dentofacial Orthopedics)

5101 VERNON AVE S, SUITE 502
EDINA, MN 55436

Hennepin County (952) 926-3747

DR. CASEY LEE NELSON DDS

Dentist

5101 VERNON AVE S, SUITE 1B
EDINA, MN 55436

Hennepin County (952) 920-9579

INTERLACHEN DENTAL ASSOCIATES

Dentist (General Practice)

5101 VERNON AVE S, STE 1B
EDINA, MN 55436

Hennepin County (952) 920-9579

DR. STANLEY P WILLIAMSON D.D.S.

Dentist (Orthodontics and Dentofacial Orthopedics)

5101 VERNON AVE S, 502
EDINA, MN 55436

Hennepin County (952) 926-3747

IMR OF MN., LLC

Clinic/Center (Physical Therapy)

5101 VERNON AVE S, STE 301
EDINA, MN 55436

Hennepin County (952) 925-5687

DR. YU PAN D.D.S., PH.D.

Dentist (Orthodontics and Dentofacial Orthopedics)

5101 VERNON AVE S, SUITE 502
EDINA, MN 55436

Hennepin County (952) 926-3747

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 Kevin Liberko's NPI number?

The NPI number for Kevin Liberko is 1962850545. It was assigned to this individual provider in the NPPES registry on May 24, 2016.

Where is Kevin Liberko located?

Kevin Liberko practices at 5101 Vernon Ave S Suite 1B, Edina, MN 55436. The listed phone number is (952) 920-9579.

What is Kevin Liberko's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kevin Liberko enrolled in Medicare?

Yes. Kevin Liberko is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Liberko accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Renaissance Dental and UnitedHealthcare list Kevin Liberko 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 Kevin Liberko was last updated on May 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.