Changrui Liu, D.D.S., Inc., a Professional Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

41944 Issued in CA

Legal business name

CHANGRUI LIU, D.D.S., INC., A PROFESSIONAL CORPORATION

Practice address

11600 Wilshire Blvd,
#316
Los Angeles, CA 90025-1783

Phone

(310) 560-8889

NPI assigned

Jan 2, 2015

Last updated

Jan 2, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

CHANGRUI LIU, D.D.S., INC., A PROFESSIONAL CORPARATIONAs reported in NPPES

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

Authorized official

Name

Dr. Changrui Liu, DDS

Title

Officer

Phone

(310) 560-8889

Specialties & licenses 1

Addresses

Tax ID family

Changrui Liu DDS Inc a Professional Corporation2 organizations share this tax ID, including this one

Part of

Changrui Liu DDS Inc a Professional Corporation

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Changrui Liu, D.D.S., Inc., a Professional Corporation

  • Dentist
  • Agoura Hills, CA
  • NPI 1194113910
  NPD tax ID

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1073901849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 KANAN RD",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913013358",
            "telephone_number": "310-560-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE BLVD,",
            "address_2": "#316",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251783",
            "telephone_number": "310-560-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGRUI LIU, D.D.S., INC., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHANGRUI LIU, D.D.S., INC., A PROFESSIONAL CORPARATION",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "CHANGRUI",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "310-560-8889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Changing Lives Crown Care, LLC
• Changing Steps
• Changing Steps Treatment Center
• Changing Steps, Inc. (Total Family Transportation Services)
• Changing Steps, Inc. (Total Family Care)
• Blanca C Chaniago, LMFT
• Craig Michael Chanin, M.D.
• Niramol Chankitwanit, R.D.
• Samuel Tumson Chanmany
• Channel Hospice

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.