Jack Chia Hsiang Liu, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

08090 Issued in IA

Practice address

2750 1St Ave NE
Ste 410
Cedar Rapids, IA 52402-4831

Phone

(319) 365-1456

Fax

(319) 261-0118

NPI assigned

Jun 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cedar Rapids Endodontics PC

  • Endodontics
  • Cedar Rapids, IA
  • NPI 1134248578
  NPD (past) Authorized official

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083817480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 1ST AVE NE",
            "address_2": "STE 410",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024831",
            "telephone_number": "319-365-1456",
            "fax_number": "319-261-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 1ST AVE NE",
            "address_2": "STE 410",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024831",
            "telephone_number": "319-365-1456",
            "fax_number": "319-261-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "JACK",
        "middle_name": "CHIA HSIANG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IA",
            "license": "08090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara J Lips, PHD
• Lisa Ferretti Lisw LLC
• Lisa Hawk, MSW, Lisw, RPT, P.L.C.
• Jillian Ivy Litchfield, DO
• Andrew Shihkang Liu, M.D., PH.D.
• Jeannette Mae Liu, MD
• Curtis D Livengood, DDS
• Living Life Better Home Healthcare Services Inc.
• Livinlife Holdings LLC (Family SmileCare Center PLC)
• McKenna Catherine Lloyd, DPT

• Endodontics in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Endodontics in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.