Active NPI
Shiting Liao, DMD
- General Practice Dentistry
- Frisco, TX
National Provider Identifier
1023604295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 39003
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230420001724 | TX | Order and Referring Only - Dentist | 8820453160 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105262 | CA | MD | General Practice Dentistry |
| 39003 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frisco Crossing Dental Group and Orthodontics PC | General Practice | Current | Accepting new patients |
| Mindi Thai, DDS & Kimdung Tracy Tran, DDS, a Dental Corporation | General Practice | Past | 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.
-
- General Practice Dentistry
- Frisco, TX
- NPI 1467020057
-
dba Edenvale Dental Group
- General Practice Dentistry
- San Jose, CA
- NPI 1639322688
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.