Individual provider Active NPI

Su-Chieh Liu, D.D.S., M.S.

  • Pediatric Dentistry
  • Palo Alto, CA
National Provider Identifier
1194831545
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
44925 Issued in CA
Practice address
2345 Yale St
FL 2B
Palo Alto, CA 94306-1448
Phone
(650) 351-6789
Fax
(650) 351-6498
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 44925 CA Primary

Addresses

Primary practice location

2345 Yale St
FL 2B
Palo Alto, CA 94306-1448

Mailing address

2345 Yale St
FL 2B
Palo Alto, CA 94306-1448
Phone (650) 351-6789

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
44925CAMDPediatric Dentist

Interoperability endpoints

  • Direct secure messaging: sliu249551@direct-ucsfmedicalcenter.org

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1194831545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 YALE ST",
            "address_2": "FL 2B",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061448",
            "telephone_number": "650-351-6789",
            "fax_number": "650-351-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 YALE ST",
            "address_2": "FL 2B",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061448",
            "telephone_number": "650-351-6789",
            "fax_number": "650-351-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "SU-CHIEH",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "44925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.