Individual provider Active NPI

Shou S Liu, D.C

  • Chiropractor
  • Silver Spring, MD
National Provider Identifier
1063538619
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03407 Issued in MD
Practice address
1600 Elton Rd
Silver Spring, MD 20903-1722
Phone
(301) 439-8000
Fax
(301) 439-5030
NPI assigned
Mar 22, 2007
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S03407 MD Primary

Addresses

Primary practice location

1600 Elton Rd
Silver Spring, MD 20903-1722

Mailing address

1600 Elton Rd
Silver Spring, MD 20903-1722
Phone (301) 439-8000

Other identifiers 3

IdentifierTypeStateIssuer
644559-01OtherMDCAREFIRST OF MD
711028682MedicaidMD
K408-0001OtherMDBLUE CHOICE MEMBER NUMBER

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
S03407MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Therapy Centers Chiropractor CurrentSince Sep 5, 2023 Accepting new patients
Pinnacle Therapy Centers Chiropractor CurrentSince Feb 11, 2024 Accepting new patients

Locations

1600 Elton Rd
Silver Spring, MD 20903
Phone (301) 439-8000

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1063538619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ELTON RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031722",
            "telephone_number": "301-439-8000",
            "fax_number": "301-439-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ELTON RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031722",
            "telephone_number": "301-439-8000",
            "fax_number": "301-439-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "SHOU",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF MD",
            "identifier": "644559-01",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "711028682",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE MEMBER NUMBER",
            "identifier": "K408-0001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.