Organization Active NPI

Xiu Liu Professional Dental Corp

  • General Practice Dentistry
  • Riverside, CA
National Provider Identifier
1538357108
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39444 Issued in CA
Legal business name
XIU LIU PROFESSIONAL DENTAL CORP
Practice address
6005 Arlington Ave
Riverside, CA 92504-1911
Phone
(951) 352-8318
Fax
(951) 352-8319
NPI assigned
Oct 9, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
XIA LIU PROFOSSIONAL DENTAL CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Ms. Lili Liu
Title
Manager
Phone
(951) 360-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39444 CA Primary

Addresses

Primary practice location

6005 Arlington Ave
Riverside, CA 92504-1911

Mailing address

6005 Arlington Ave
Riverside, CA 92504-1911
Phone (951) 352-8318

National Provider Directory

National Provider Directory
Tax ID family
Xia L Liu Professional Dentl Corp3 organizations share this tax ID, including this one
Part of
Xia L Liu Professional Dentl Corp

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1538357108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925041911",
            "telephone_number": "951-352-8318",
            "fax_number": "951-351-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925041911",
            "telephone_number": "951-352-8318",
            "fax_number": "951-352-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XIU LIU PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "XIA LIU PROFOSSIONAL DENTAL CORP",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "LILI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "951-360-3800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.