LIBERTY DENTAL PLAN OF TEXAS, INC.
NPI 1336606276
Health Maintenance Organization in Tustin, CA

NPI Status: Active since February 27, 2019

Contact Information

1730 FLIGHT WAY STE 125
TUSTIN, CA
ZIP 92782
Phone: (888) 703-6999

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  • Organization
  • Health Maintenance Organization

About LIBERTY DENTAL PLAN OF TEXAS, INC.

This page provides the complete NPI Profile along with additional information for Liberty Dental Plan Of Texas, Inc., a provider established in Tustin, California operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1336606276 assigned on February 2019. The practitioner's primary taxonomy code is 302R00000X. The provider is registered as an organization and their NPI record was last updated May 2025. The authorized official of this NPI record is Marzena Fercz (Chief Compliance Officer)

NPI
1336606276
Provider Name
LIBERTY DENTAL PLAN OF TEXAS, INC.
Entity Type
Organization
Location Address
1730 FLIGHT WAY STE 125 TUSTIN, CA 92782
Location Phone
(888) 703-6999
Mailing Address
1730 FLIGHT WAY STE 125 TUSTIN, CA 92782
Mailing Phone
(888) 703-6999
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-27-2019
Last Update Date
05-07-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARZENA FERCZ

Authorized Official Title
CHIEF COMPLIANCE OFFICER
Authorized Official Phone
(888) 703-6999

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336606276
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
236612012214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 2 + 0 + 1 + 2 + 2 + 1 + 4 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1336606276 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063903607LIBERTY DENTAL PLAN NEW YORK IPA, LLC
Organization
Health Maintenance Organization1730 FLIGHT WAY STE 125
TUSTIN, CA 92782
(888) 703-6999
1568977791LIBERTY DENTAL PLAN OF NEW JERSEY, INC.
Organization
Health Maintenance Organization1730 FLIGHT WAY STE 125
TUSTIN, CA 92782
(888) 703-6999
1720545478LIBERTY BENEFITS ADMINISTRATORS, INC.
Organization
Health Maintenance Organization1730 FLIGHT WAY STE 125
TUSTIN, CA 92782
(888) 703-6999

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336606276, enumerated in the NPI registry as an "organization" on February 27, 2019

The provider is located at 1730 Flight Way Ste 125 Tustin, Ca 92782 and the phone number is (888) 703-6999

This medical organization specializes in Health Maintenance Organization with taxonomy code 302R00000X

This NPI record was last updated on February 27, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.