Active NPI
Dai-Chen Liu, D.D.S.
- Dentist
- San Jose, CA
National Provider Identifier
1568567626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 42848
- Practice address
- 20445 Prospect Rd Ste 7
San Jose, CA 95129-4663 - Phone
- (408) 252-8889
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 42848 | CA | Primary |
Addresses
Primary practice location
20445 Prospect Rd Ste 7
San Jose, CA 95129-4663
Mailing address
20445 Prospect Rd Ste 7
San Jose, CA 95129-4663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-3053231 | Other | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42848 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L & H Dental Inc. | Past | Accepting new patients |
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.
-
- Dental Clinic/Center
- San Jose, CA
- NPI 1033618152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371081600000",
"number": "1568567626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20445 PROSPECT RD STE 7",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951294663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20445 PROSPECT RD STE 7",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951294663",
"telephone_number": "408-252-8889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "DAI-CHEN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2013-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "42848",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "20-3053231",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.