Organization Active NPI

Zheng K Liu MD Professional Corporation

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1598825895
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10712 Issued in NV
Legal business name
ZHENG K LIU MD PROFESSIONAL CORPORATION
Practice address
1210 S Valley View Blvd Ste 210
Las Vegas, NV 89102-1857
Phone
(702) 921-6823
Fax
(702) 993-0022
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Dr. Zheng Kun Liu, M.D.NPI 1144280256
Title
President
Phone
(702) 921-6823

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 10712 NV Primary

Addresses

Primary practice location

1210 S Valley View Blvd Ste 210
Las Vegas, NV 89102-1857

Mailing address

PO Box 35596
Las Vegas, NV 89133-5596
Phone (702) 993-0022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070531000355 NV Part B Supplier - Clinic/Group Practice 6406954361 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1598825895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35596",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335596",
            "telephone_number": "702-993-0022",
            "fax_number": "702-993-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 S VALLEY VIEW BLVD STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021857",
            "telephone_number": "702-921-6823",
            "fax_number": "702-993-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZHENG K LIU MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "ZHENG",
        "authorized_official_middle_name": "KUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-921-6823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "10712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.