NPIMap

Organization Active NPI

Dental Associates of Lodi

  • General Practice Dentistry
  • Lodi, NJ
National Provider Identifier
1356693402
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02383200 Issued in NJ
Legal business name
DENTAL ASSOCIATES OF LODI
Practice address
147 Main St
Second Floor
Lodi, NJ 07644-1715
Phone
(862) 247-8030
Fax
(862) 247-8032
NPI assigned
Oct 12, 2012
Last updated
Oct 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Dr. Hua-Yu Steven Liao, D.M.DNPI 1235379488
Title
Dentist
Phone
(732) 757-5516

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02383200 NJ Primary

Addresses

Primary practice location

147 Main St
Second Floor
Lodi, NJ 07644-1715

Mailing address

147 Main St
Second Floor
Lodi, NJ 07644-1715
Phone (862) 247-8030

National Provider Directory

National Provider Directory

Locations

147 Main St
Ste 2
Lodi, NJ 07644
Phone (862) 247-8030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1356693402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 MAIN ST",
            "address_2": "SECOND FLOOR",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076441715",
            "telephone_number": "862-247-8030",
            "fax_number": "862-247-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 MAIN ST",
            "address_2": "SECOND FLOOR",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076441715",
            "telephone_number": "862-247-8030",
            "fax_number": "862-247-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF LODI",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "LIAO",
        "authorized_official_first_name": "HUA-YU STEVEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "732-757-5516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02383200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.