Shang Lun Liu, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DE60688009 Issued in WA

Practice address

2505 S 320TH St
Federal Way, WA 98003-5400

Phone

(206) 400-0800

NPI assigned

Jul 25, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Allen Liu Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kang DDS & Suzuki DMD Ms El PLLC

  dba Puget Sound Periodontics

  • Periodontics
  • Federal Way, WA
  • NPI 1942943501
  NPD (past)
• Kang DDS & Suzuki DMD Ms FW PLLC

  dba Puget Sound Periodontics

  • Periodontics
  • Federal Way, WA
  • NPI 1588301428
  NPD (past)

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1578016762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 S 320TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035400",
            "telephone_number": "206-400-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 S 320TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035400",
            "telephone_number": "206-400-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "SHANG LUN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE60688009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLEN",
            "last_name": "LIU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lindsey a. Miller, Arnp, LLC
• Ruth Linehan Townley
• Dana Dan Ling, PHARM.D.
• Peter Littlewood, MD
• PO-Hong Liu, MD, MPH
• Yako Liu, D.D.S.
• Yuan Yuan Liu
• Ziqi Liu, RPH
• Misha Gente Livingston, LMHCA
• Jean Dorothy Lix, M.S.

• Periodontics in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.