Organization Active NPI

Liu, Joseph H D.D.S. Inc.

  • General Practice Dentistry
  • West Covina, CA
National Provider Identifier
1053807941
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36172 Issued in CA
Legal business name
LIU, JOSEPH H D.D.S. INC.
Practice address
1014 S Glendora Ave
West Covina, CA 91790-4920
Phone
(626) 918-2886
Fax
(626) 918-8807
NPI assigned
Jul 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Authorized official

Name
Dr. Joseph Horn Ting Liu, D.D.S.
Title
Dentist
Phone
(626) 918-2886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 36172 CA Primary

Addresses

Primary practice location

1014 S Glendora Ave
West Covina, CA 91790-4920

Mailing address

1014 S Glendora Ave
West Covina, CA 91790-4920
Phone (626) 918-2886

Other identifiers 1

IdentifierTypeStateIssuer
B3617201OtherCADENTI-CAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1053807941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 S GLENDORA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904920",
            "telephone_number": "626-918-2886",
            "fax_number": "626-918-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 S GLENDORA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904920",
            "telephone_number": "626-918-2886",
            "fax_number": "626-918-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIU, JOSEPH H D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-03",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "HORN TING",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-918-2886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B3617201",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.