Organization Active NPI

Linda Liu DMD, PC

  • General Practice Dentistry
  • Chesterfield, MO
National Provider Identifier
1205051737
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2001018488 Issued in MO
Legal business name
LINDA LIU DMD, PC
Practice address
14377 Woodlake Dr Ste 310
Chesterfield, MO 63017-5735
Phone
(314) 878-5828
Fax
(314) 878-5828
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
Dr. Linda Lidong Liu, DMD
Title
Dentist
Phone
(314) 878-5828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2001018488 MO Primary

Addresses

Primary practice location

14377 Woodlake Dr Ste 310
Chesterfield, MO 63017-5735

Mailing address

14377 Woodlake Dr Ste 310
Chesterfield, MO 63017-5735
Phone (314) 878-5828

National Provider Directory

National Provider Directory

Locations

14377 Woodlake Dr
Ste 310
Chesterfield, MO 63017
Phone (314) 878-5828

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1205051737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14377 WOODLAKE DR STE 310",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175735",
            "telephone_number": "314-878-5828",
            "fax_number": "314-878-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14377 WOODLAKE DR STE 310",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175735",
            "telephone_number": "314-878-5828",
            "fax_number": "314-878-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA LIU DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "LIDONG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "314-878-5828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2001018488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.