Active NPI
Liang Shao, DDS
- General Practice Dentistry
- Hicksville, NY
National Provider Identifier
1003652298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 064725
- Practice address
- 754 S Broadway
Hicksville, NY 11801-5017 - Phone
- (516) 874-7834
- NPI assigned
- Jul 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 064725 | NY | Primary |
Addresses
Primary practice location
754 S Broadway
Hicksville, NY 11801-5017
Mailing address
325 5TH Ave Apt 28a
New York, NY 10016-5043
Phone (347) 863-3635
Other names 1
- Lucy Shao
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064725 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1003652298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 5TH AVE APT 28A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165043",
"telephone_number": "347-863-3635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "754 S BROADWAY",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118015017",
"telephone_number": "516-874-7834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAO",
"first_name": "LIANG",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-08",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "064725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LUCY",
"last_name": "SHAO",
"credential": "DDS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hicksville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.