Individual provider Active NPI

Chuan Liu, L.AC., PH.D.

  • Acupuncturist
  • Greenfield, WI
National Provider Identifier
1063430601
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
251-055 Issued in WI
Practice address
4275 S 108TH St
Greenfield, WI 53228-1907
Phone
(414) 727-4640
Fax
(414) 727-4636
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 251-055 WI Primary

Addresses

Primary practice location

4275 S 108TH St
Greenfield, WI 53228-1907

Mailing address

4275 S 108TH St
Greenfield, WI 53228-1907
Phone (414) 727-4640

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
251-055WIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Alternative Medicine Clinic, LLC Acupuncturist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1063430601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 S 108TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532281907",
            "telephone_number": "414-727-4640",
            "fax_number": "414-727-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 S 108TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532281907",
            "telephone_number": "414-727-4640",
            "fax_number": "414-727-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "CHUAN",
        "name_prefix": "Mr.",
        "credential": "L.AC., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "251-055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.