Active NPI
Ellie Chen Liu, DMD
- Endodontics
- Killeen, TX
National Provider Identifier
1437502127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 36359
- Practice address
- 507 W Stan Schlueter Loop Ste 400
Killeen, TX 76542-6877 - Phone
- (254) 870-9209
- NPI assigned
- Jul 18, 2016
- Last updated
- Sep 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 36359 | TX | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
507 W Stan Schlueter Loop Ste 400
Killeen, TX 76542-6877
Mailing address
13500 Lyndhurst St Apt 3050
Austin, TX 78717-6099
Phone (669) 246-8498
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NW Dentistry and Orthodontics, PC | Past | Accepting new patients |
Organizations & group practices 1
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 Northwest Austin Dentists and Orthodontics
- General Practice Dentistry
- Austin, TX
- NPI 1023453677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1437502127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13500 LYNDHURST ST APT 3050",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787176099",
"telephone_number": "669-246-8498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 W STAN SCHLUETER LOOP STE 400",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765426877",
"telephone_number": "254-870-9209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "ELLIE",
"middle_name": "CHEN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-18",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "36359",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.