Individual provider Active NPI

Manhui Liu, DMD

  • Dentist
  • Malden, MA
National Provider Identifier
1508987850
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20373 Issued in MA
Practice address
389 Main St Ste 204
Malden, MA 02148-5017
Phone
(781) 322-0888
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 20373 MA Primary

Addresses

Primary practice location

389 Main St Ste 204
Malden, MA 02148-5017

Mailing address

389 Main St Ste 204
Malden, MA 02148-5017
Phone (781) 322-0888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220323000542 MA Practitioner - Oral SurgeryPractitioner - Maxillofacial SurgeryPractitioner - Dentist 9739574070 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20373MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Malden Dental Associates, Inc. Dentist CurrentSince Dec 11, 2021 Accepting new patients

Locations

389 Main St
Ste 204
Malden, MA 02148
Phone (781) 322-0888

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1508987850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 MAIN ST STE 204",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485017",
            "telephone_number": "781-322-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 MAIN ST STE 204",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485017",
            "telephone_number": "781-322-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "MANHUI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "20373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

Verify at the official NPI Registry.