Active NPI
Christine Liaw, DDS
- Pediatric Dentistry
- Redwood City, CA
National Provider Identifier
1477568210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 48742
- Practice address
- 1733 Woodside Rd Ste 280
Redwood City, CA 94061-3464 - Phone
- (650) 366-5437
- NPI assigned
- Jul 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 48742 | CA | Primary |
Addresses
Primary practice location
1733 Woodside Rd Ste 280
Redwood City, CA 94061-3464
Mailing address
1733 Woodside Rd
Suite 280
Redwood City, CA 94061-3499
Phone (650) 366-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48742 | Other | CA | DENTAL BOARD OF CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20160307000453 | CA | Order and Referring Only - Dentist | 2860798543 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48742 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1477568210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1733 WOODSIDE RD",
"address_2": "SUITE 280",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940613499",
"telephone_number": "650-366-5437",
"fax_number": "650-366-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1733 WOODSIDE RD STE 280",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940613464",
"telephone_number": "650-366-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIAW",
"first_name": "CHRISTINE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "48742",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL BOARD OF CA",
"identifier": "48742",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.