Active NPI
Lina Liu, D.D.S.
- Dentist
- Clarksburg, MD
National Provider Identifier
1306277215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401414246
- Practice address
- 11911 Cliffrose Dr
Clarksburg, MD 20871-9380 - Phone
- (804) 334-7029
- NPI assigned
- Dec 2, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401414246 | VA | Primary |
Addresses
Primary practice location
11911 Cliffrose Dr
Clarksburg, MD 20871-9380
Mailing address
11911 Cliffrose Dr
Clarksburg, MD 20871-9380
Phone (804) 334-7029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401414246 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385942400000",
"number": "1306277215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11911 CLIFFROSE DR",
"city": "CLARKSBURG",
"state": "MD",
"postal_code": "208719380",
"telephone_number": "804-334-7029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11911 CLIFFROSE DR",
"city": "CLARKSBURG",
"state": "MD",
"postal_code": "208719380",
"telephone_number": "804-334-7029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "LINA",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-02",
"last_updated": "2013-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401414246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.