Active NPI
Noah Liu
- Dentist
- Studio City, CA
National Provider Identifier
1104718790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 111920
- Practice address
- 12050 Ventura Blvd Ste C101
Studio City, CA 91604-2639 - Phone
- (818) 296-9142
- NPI assigned
- Jul 17, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 111920 | CA | Primary |
Addresses
Primary practice location
12050 Ventura Blvd Ste C101
Studio City, CA 91604-2639
Mailing address
2283 S Alton Way
Denver, CO 80231-3476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250903001214 | CA | Order and Referring Only - Dentist | 2668973330 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trevor J. Thomas, D.D.S., Inc. | Dentist | 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.
-
- Dentist
- Studio City, CA
- NPI 1164984316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1104718790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2283 S ALTON WAY",
"city": "DENVER",
"state": "CO",
"postal_code": "802313476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12050 VENTURA BLVD STE C101",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916042639",
"telephone_number": "818-296-9142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "NOAH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-17",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "111920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Studio City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.