Organization Active NPI

Xia L.Liu Professional Dental Corp

  • General Practice Dentistry
  • Riverside, CA
National Provider Identifier
1548413677
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
.39444 Issued in CA
Legal business name
XIA L.LIU PROFESSIONAL DENTAL CORP
Practice address
6005 Arlington Ave
Riverside, CA 92504-1911
Phone
(951) 352-8318
Fax
(951) 352-8319
NPI assigned
Nov 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Authorized official

Name
Mrs. Xia Liu, DDSNPI 1427196997
Title
Owner
Phone
(951) 352-8318

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Other identifiers 1

IdentifierTypeStateIssuer
39444MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Xia Lliu Professional Dental Corp3 organizations share this tax ID, including this one

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.

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1548413677",
    "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": "951-352-8319"
        },
        {
            "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": "XIA L.LIU PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "XIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-352-8318",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": ".39444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39444",
            "state": "CA"
        }
    ],
    "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 Nov 3, 2008; 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.