Active NPI
Milton Jason Liu, D.D.S.
- Dentist
- Hope Valley, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN03122
- Practice address
- 823 Main St
Hope Valley, RI 02832-1920 - Phone
- (401) 539-2461
- NPI assigned
- Jun 25, 2010
- Last updated
- Jul 3, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15330 | MD | MD | Dentist |
| LD00055 | RI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wood River Health Services, Inc. | Current | Accepting new patients | |
| Rhode Island Hospital | Current | Accepting new patients | |
| Rhode Island Hospital | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
dba Samuels Sinclair Dental Center
- Dental Clinic/Center
- Providence, RI
- NPI 1770601668
-
- Federally Qualified Health Center (FQHC)
- Hope Valley, RI
- NPI 1417947383
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- Ophthalmology Physician
- Westerly, RI
- NPI 1841325818
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.