Individual provider Active NPI

Shiting Liao, DMD

  • General Practice Dentistry
  • Frisco, TX
National Provider Identifier
1023604295
Registry record updated Mar 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39003 Issued in TX
Practice address
1525 US Highway 380 Ste 600
Frisco, TX 75033-0176
Phone
(214) 225-0321
NPI assigned
Dec 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 105262 CA
General Practice Dentistry 1223G0001X 39003 TX Primary

Addresses

Primary practice location

1525 US Highway 380 Ste 600
Frisco, TX 75033-0176

Mailing address

4221 Sandhills LN
Prosper, TX 75078-0990
Phone (510) 449-5875

Other practice location 1

120 Blossom Hill Rd Ste 20
San Jose, CA 95123-2320
Phone (408) 225-5883

Other names 1

  • Dr. Amy Liao Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230420001724 TX Order and Referring Only - DentistPractitioner - Dentist 8820453160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105262CAMDGeneral Practice Dentistry
39003TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Frisco Crossing Dental Group and Orthodontics PC General Practice CurrentSince Mar 19, 2023 Accepting new patients
Mindi Thai, DDS & Kimdung Tracy Tran, DDS, a Dental Corporation General Practice PastSince Dec 1, 2020 Accepting new patients

Locations

1525 US Highway 380
Ste 600
Frisco, TX 75033
Phone (214) 225-0321

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679097600000",
    "number": "1023604295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 SANDHILLS LN",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750780990",
            "telephone_number": "510-449-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 US HIGHWAY 380 STE 600",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750330176",
            "telephone_number": "214-225-0321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Blossom Hill Rd Ste 20",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951232320",
            "country_code": "US",
            "telephone_number": "408-225-5883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIAO",
        "first_name": "SHITING",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2023-03-18",
        "certification_date": "2023-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105262",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "LIAO",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.