NPIMap

Organization Active NPI

Edward S. Liu, DDS, Inc.

  • General Practice Dentistry
  • Buena Park, CA
National Provider Identifier
1245695311
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54529 Issued in CA
Legal business name
EDWARD S. LIU, DDS, INC.
Practice address
8884 Knott Ave
Buena Park, CA 90620-4135
Phone
(714) 995-5000
Fax
(714) 995-5125
NPI assigned
Dec 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Authorized official

Name
Dr. Edward Shih Liu, DDS
Title
President
Phone
(626) 625-5570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 54529 CA Primary

Addresses

Primary practice location

8884 Knott Ave
Buena Park, CA 90620-4135

Mailing address

8884 Knott Ave
Buena Park, CA 90620-4135
Phone (714) 995-5000

Other identifiers 1

IdentifierTypeStateIssuer
1467668012OtherCANPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1245695311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8884 KNOTT AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204135",
            "telephone_number": "714-995-5000",
            "fax_number": "714-995-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8884 KNOTT AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204135",
            "telephone_number": "714-995-5000",
            "fax_number": "714-995-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD S. LIU, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "SHIH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-625-5570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467668012",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.