Active NPI
Liang Ren, DDS
- General Practice Dentistry
- Newport Beach, CA
National Provider Identifier
1184828089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 40113
- Practice address
- 1501 Superior Ave
Suite306
Newport Beach, CA 92663-3600 - Phone
- (949) 218-1408
- Fax
- (949) 218-1410
- NPI assigned
- Jun 13, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 40113 | CA | Primary |
Addresses
Primary practice location
1501 Superior Ave
Suite306
Newport Beach, CA 92663-3600
Mailing address
1501 Superior Ave
306
Newport Beach, CA 92663-3600
Phone (949) 218-1408
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207094400000",
"number": "1184828089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 SUPERIOR AVE",
"address_2": "306",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633600",
"telephone_number": "949-218-1408",
"fax_number": "949-218-1410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SUPERIOR AVE",
"address_2": "SUITE306",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633600",
"telephone_number": "949-218-1408",
"fax_number": "949-218-1410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REN",
"first_name": "LIANG",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2008-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "40113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.