Liberty Ann Boucher, DDS
NPI 1114183126ActiveIndividual· Dentist, General Practice· Madison, WI
Dentist, General Practice (DDS) in Madison, Wisconsin, licensed in WI, with an NPI issued in July 2008. Enrolled in Medicare as order and referring only - oral surgery. 3shape Inc reported $26.00 in payments in 2025, mostly speaking and faculty fees.
Overview
| NPI | 1114183126 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Jul 30, 2008 |
| Last updated in NPPES | Sep 28, 2026 |
| Certified by provider | Sep 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 6297-15 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Oral Surgery (WI) |
|---|
Industry payments (Open Payments)
- 2025$26.00 · 1 payment from 1 company
- 2024$21.85 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| 3shape Inc | $26.00 | 1 |
What the 2025 payments were for
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$26.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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