Individual provider Active NPI

Tina Jiaqi Liang, DMD

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1134747298
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7359 Issued in NV
Practice address
6925 S Buffalo Dr
St 160
Las Vegas, NV 89113-2378
Phone
(702) 721-9698
NPI assigned
Jul 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7359 NV Primary

Addresses

Primary practice location

6925 S Buffalo Dr
St 160
Las Vegas, NV 89113-2378

Mailing address

8612 Wind Rose CT
Las Vegas, NV 89139-6863
Phone (702) 885-6611

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

State licenses

LicenseStateTypeSpecialty
7359NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pristine Dental CurrentSince Mar 31, 2024 Accepting new patients

Locations

6925 S Buffalo Dr
Ste 160
Las Vegas, NV 89113
Phone (702) 721-9698

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": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1134747298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8612 WIND ROSE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891396863",
            "telephone_number": "702-885-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6925 S BUFFALO DR",
            "address_2": "ST 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132378",
            "telephone_number": "702-721-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIANG",
        "first_name": "TINA",
        "middle_name": "JIAQI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.