Individual provider Active NPI

Yi-Ping Liu, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fayetteville, GA
National Provider Identifier
1205074754
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN013989 Issued in GA
Practice address
570 Lanier Ave W BLDG 2
Fayetteville, GA 30214-7649
Phone
(678) 833-2128
NPI assigned
Jan 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 10473 NC
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN013989 GA Primary

Addresses

Primary practice location

570 Lanier Ave W BLDG 2
Fayetteville, GA 30214-7649

Mailing address

570 Lanier Ave W BLDG 2
Fayetteville, GA 30214-7649
Phone (716) 946-8061

Other practice location 1

1301 Penn Ave
Wyomissing, PA 19610-2140
Phone (610) 372-6313

Other practice location 2

31 Oleander Dr
Clayton, NC 27527
Phone (919) 550-5251

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL MY.GREATEXPRESSIONS.COM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170425000129 NC Order and Referring Only - DentistPractitioner - Dentist 3375829534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN013989GAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1205074754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 LANIER AVE W BLDG 2",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147649",
            "telephone_number": "716-946-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 LANIER AVE W BLDG 2",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147649",
            "telephone_number": "678-833-2128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Penn Ave",
            "address_purpose": "LOCATION",
            "city": "Wyomissing",
            "state": "PA",
            "postal_code": "196102140",
            "country_code": "US",
            "telephone_number": "610-372-6313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Oleander Dr",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NC",
            "postal_code": "27527",
            "country_code": "US",
            "telephone_number": "919-550-5251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "YI-PING",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "10473",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN013989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MY.GREATEXPRESSIONS.COM",
            "affiliation": "N",
            "address_1": "570 Lanier Ave W Bldg 2",
            "city": "Fayetteville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302147649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.