Individual provider Active NPI

Milton Jason Liu, D.D.S.

  • Dentist
  • Hope Valley, RI
National Provider Identifier
1326359266
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN03122 Issued in RI
Practice address
823 Main St
Hope Valley, RI 02832-1920
Phone
(401) 539-2461
NPI assigned
Jun 25, 2010
Last updated
Jul 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 15330 MD
Dentist 122300000X LD00055 RI
Dentist 122300000X DEN03122 RI Primary

Addresses

Primary practice location

823 Main St
Hope Valley, RI 02832-1920

Mailing address

210 Main St
Pawtucket, RI 02860-4008
Phone (401) 729-5239

Other practice location 1

1219 Main St
West Warwick, RI 02893-4834
Phone (401) 615-2804

Other practice location 2

210 Main St
Pawtucket, RI 02860-4008
Phone (401) 729-5239

Other practice location 3

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-5284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20211111002465 RI Practitioner - Dentist 9830498039 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15330MDMDDentist
LD00055RIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Wood River Health Services, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Rhode Island Hospital CurrentSince Dec 20, 2023 Accepting new patients
Rhode Island Hospital CurrentSince Dec 20, 2023 Accepting new patients
Thames Eye Group, PC Past Accepting new patients

Locations

823 Main St
Hope Valley, RI 02832

593 Eddy St
Providence, RI 02903

17 Wells St
Westerly, RI 02891
Phone (401) 348-2020

17 Wells St
Ste 102
Westerly, RI 02891
Phone (401) 596-0339

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: melvin.liu.p1@direct.wrhsrhodeisland.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1326359266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MAIN ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604008",
            "telephone_number": "401-729-5239",
            "fax_number": "401-312-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 MAIN ST",
            "city": "HOPE VALLEY",
            "state": "RI",
            "postal_code": "028321920",
            "telephone_number": "401-539-2461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1219 Main St",
            "address_purpose": "LOCATION",
            "city": "West Warwick",
            "state": "RI",
            "postal_code": "028934834",
            "country_code": "US",
            "telephone_number": "401-615-2804",
            "fax_number": "401-615-2805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Main St",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "028604008",
            "country_code": "US",
            "telephone_number": "401-729-5239",
            "fax_number": "401-312-2011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "593 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-444-5284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "MILTON",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "15330",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "LD00055",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "DEN03122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hope Valley, RI

Sources for this page

Verify at the official NPI Registry.