Active NPI
Xingkun Liu, D.D.S.,M.S., PH.D.
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1467864157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 29978
- Practice address
- 9889 Bellaire Blvd
Suite 103
Houston, TX 77036-3464 - Phone
- (281) 501-0520
- Fax
- (281) 501-0524
- NPI assigned
- May 29, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 29978 | TX | Primary |
Addresses
Primary practice location
9889 Bellaire Blvd
Suite 103
Houston, TX 77036-3464
Mailing address
9889 Bellaire Blvd
Suite 103
Houston, TX 77036-3463
Phone (281) 501-0520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3336919-11 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160204001754 | TX | Order and Referring Only - Oral Surgery | 8426352816 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415059200000",
"number": "1467864157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9889 BELLAIRE BLVD",
"address_2": "SUITE 103",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770363463",
"telephone_number": "281-501-0520",
"fax_number": "281-501-0524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9889 BELLAIRE BLVD",
"address_2": "SUITE 103",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770363464",
"telephone_number": "281-501-0520",
"fax_number": "281-501-0524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "XINGKUN",
"credential": "D.D.S.,M.S., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-29",
"last_updated": "2014-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "29978",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3336919-11",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.