Organization Active NPI

Rick Y. Lieu, D.D.S.,PLLC

  • General Practice Dentistry
  • Puyallup, WA
National Provider Identifier
1467691378
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00008859 Issued in WA
Legal business name
RICK Y. LIEU, D.D.S.,PLLC
Practice address
8604 112TH St E
Puyallup, WA 98373-3857
Phone
(253) 845-0558
Fax
(253) 841-0980
NPI assigned
Feb 17, 2009
Last updated
Feb 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Authorized official

Name
Rick Y Lieu, D.D.S.NPI 1255473989
Title
Member
Phone
(253) 845-0558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00008859 WA Primary

Addresses

Primary practice location

8604 112TH St E
Puyallup, WA 98373-3857

Mailing address

8604 112TH St E
Puyallup, WA 98373-3857
Phone (253) 845-0558

National Provider Directory

National Provider Directory

Locations

8604 112th St E
Puyallup, WA 98373
Phone (253) 845-0558

Practitioners & affiliated clinicians

Practitioners 3

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": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1467691378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8604 112TH ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733857",
            "telephone_number": "253-845-0558",
            "fax_number": "253-841-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8604 112TH ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733857",
            "telephone_number": "253-845-0558",
            "fax_number": "253-841-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK Y. LIEU, D.D.S.,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "LIEU",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "253-845-0558",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00008859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.