NPIMap

Organization Active NPI

Liao & Cheung Dental PLLC

  • General Practice Dentistry
  • Mesa, AZ
National Provider Identifier
1265639702
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5142 Issued in AZ
Legal business name
LIAO & CHEUNG DENTAL PLLC
Practice address
9061 E Baseline Rd Ste B103
Mesa, AZ 85209-7761
Phone
(480) 380-3737
Fax
(480) 380-3739
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Ms. Janice Liao, D.D.SNPI 1659441376
Title
Owner
Phone
(480) 380-3737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5142 AZ Primary

Addresses

Primary practice location

9061 E Baseline Rd Ste B103
Mesa, AZ 85209-7761

Mailing address

9061 E Baseline Rd Ste B103
Mesa, AZ 85209-7761
Phone (480) 380-3737

Other identifiers 1

IdentifierTypeStateIssuer
526121OtherAZAHCCS ID

National Provider Directory

National Provider Directory

Locations

9061 E Baseline Rd
Ste B103
Mesa, AZ 85209
Phone (480) 380-3737

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1265639702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9061 E BASELINE RD STE B103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852097761",
            "telephone_number": "480-380-3737",
            "fax_number": "480-380-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9061 E BASELINE RD STE B103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852097761",
            "telephone_number": "480-380-3737",
            "fax_number": "480-380-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIAO & CHEUNG DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "LIAO",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-380-3737",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCS ID",
            "identifier": "526121",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.