Liqun Zhang, DDS PHD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

053898 Issued in NY

Practice address

2500 Nesconset Hwy, Building 14D
Three Village Dental, P.C.
Stony Brook, NY 11790

Phone

(631) 689-7740

Fax

(631) 689-7740

NPI assigned

Apr 15, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Interoperability endpoints

• Direct secure messaging: liqun.zhang.p8@direct.shproviders.nextgenshare.com

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1528232105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY, BUILDING 14D",
            "address_2": "THREE VILLAGE DENTAL, P.C.",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11790",
            "telephone_number": "631-689-7740",
            "fax_number": "631-689-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY, BUILDING 14D",
            "address_2": "THREE VILLAGE DENTAL, P.C.",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11790",
            "telephone_number": "631-689-7740",
            "fax_number": "631-689-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "LIQUN",
        "name_prefix": "Dr.",
        "credential": "DDS PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huichun Zhan
• Emily Zhang, MD
• Frank Lixun Zhang, M.D.
• Haibin Zhang, MD
• Kalissa Sandy Zhang, MD
• Charles Zhao, MD
• Leon Zhao
• Ling Zhao, ANP
• Tianhao Zhao, M.D.
• Jason Zheng, DO

• General Practice Dentistry in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.