Organization Active NPI

Ann D. Liou, DDS, MSD, PS

  • Prosthodontics
  • Edmonds, WA
National Provider Identifier
1225283757
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DE00006629 Issued in WA
Legal business name
ANN D. LIOU, DDS, MSD, PS
Practice address
22815 100TH Ave W
Edmonds, WA 98020-5919
Phone
(425) 776-3166
Fax
(425) 776-3881
NPI assigned
Nov 25, 2008
Last updated
Nov 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Ms. Brenda Lynn Heckathorn
Title
Office Manager
Phone
(425) 776-3166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DE00006629 WA Primary

Addresses

Primary practice location

22815 100TH Ave W
Edmonds, WA 98020-5919

Mailing address

22815 100TH Ave W
Edmonds, WA 98020-5919
Phone (425) 776-3166

Other identifiers 2

IdentifierTypeStateIssuer
1437133774OtherWATYPE 1 NPI NUMBER
1538244660OtherWATYPE 1 NPI NUMBER

National Provider Directory

National Provider Directory

Locations

22815 100th Ave W
Edmonds, WA 98020
Phone (425) 776-3166

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1225283757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22815 100TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980205919",
            "telephone_number": "425-776-3166",
            "fax_number": "425-776-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22815 100TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980205919",
            "telephone_number": "425-776-3166",
            "fax_number": "425-776-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN D. LIOU, DDS, MSD, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "HECKATHORN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "425-776-3166",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WA",
            "license": "DE00006629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI  NUMBER",
            "identifier": "1437133774",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI  NUMBER",
            "identifier": "1538244660",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.

Verify at the official NPI Registry.