NPIMap

Organization Active NPI

Ning Liu D.D.S. Inc.

Doing business as Poway Family Dental Center

  • General Practice Dentistry
  • Poway, CA
National Provider Identifier
1477769685
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NING LIU D.D.S. INC.
Doing business as
Poway Family Dental Center
Practice address
12378 Poway Rd Ste B
Poway, CA 92064-4242
Phone
(858) 679-8918
Fax
(858) 679-6979
NPI assigned
May 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ning Liu, DDS
Title
President Dentist
Phone
(858) 679-8918

Specialties & licenses 1

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

Addresses

Primary practice location

12378 Poway Rd Ste B
Poway, CA 92064-4242

Mailing address

12378 Poway Rd Ste B
Poway, CA 92064-4242
Phone (858) 679-8918

Other identifiers 1

IdentifierTypeStateIssuer
G92459-01OtherCADENTI-CAL

Other names 1

  • Poway Family Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chelsea Liu DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477769685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12378 POWAY RD STE B",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644242",
            "telephone_number": "858-679-8918",
            "fax_number": "858-679-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12378 POWAY RD STE B",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644242",
            "telephone_number": "858-679-8918",
            "fax_number": "858-679-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NING LIU D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "NING",
        "authorized_official_title_or_position": "PRESIDENT DENTIST",
        "authorized_official_telephone_number": "858-679-8918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G92459-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poway Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.