Anthony Lieu DMD Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

55913 Issued in CA

Legal business name

ANTHONY LIEU DMD INC

Practice address

6420 Commerce Blvd
Rohnert Park, CA 94928-2421

Phone

(707) 795-4523

NPI assigned

Jan 19, 2016

Organization subpart

No

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

Authorized official

Name

Anthony Lieu, DMDNPI 1962612622

Title

Owner

Phone

(707) 795-4523

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony K Lieu, DMD

  • General Practice Dentistry
  • Rohnert Park, CA
  • NPI 1962612622
  NPD Authorized official

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1477910602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 COMMERCE BLVD",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 COMMERCE BLVD",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282421",
            "telephone_number": "707-795-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY LIEU DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "LIEU",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-795-4523",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "55913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ameha T. Joba,DPM, PC
• American Current Care of California, a Medical Corporation (Concentra Urgent Care)
• Lala Anderson, NP
• Anka Behavorial Health, Inc. (Casa Rohnert Park)
• Angelina Antang
• Anthony Lieu DMD Inc
• David Paul Armstrong, D.C.
• Jennifer Aros, BCBA
• Afaf Asfour, RCP-RRT
• Desmond Auweloa

• Oral and Maxillofacial Surgery (Dentist) in Rohnert Park, CA
• Providers in Rohnert Park, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.