Active NPI
Peter Liang
- Dentist
- Laredo, TX
National Provider Identifier
1326664996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 36209
- Practice address
- 4817 San Dario Ave
Laredo, TX 78041-5754 - Phone
- (956) 728-7667
- NPI assigned
- Jun 19, 2020
- Last updated
- Aug 15, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 36209 | TX | |
| Dentist | 122300000X | 36209 | TX | Primary |
Addresses
Primary practice location
4817 San Dario Ave
Laredo, TX 78041-5754
Mailing address
5800 N I 35 Ste 205
Denton, TX 76207-1438
Phone (940) 220-7833
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 |
|---|---|---|---|
| 36209 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1326664996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 N I 35 STE 205",
"city": "DENTON",
"state": "TX",
"postal_code": "762071438",
"telephone_number": "940-220-7833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4817 SAN DARIO AVE",
"city": "LAREDO",
"state": "TX",
"postal_code": "780415754",
"telephone_number": "956-728-7667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIANG",
"first_name": "PETER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-19",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "36209",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "36209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.