Organization Active NPI

Kuei Shu Liao D.D.S.Inc

  • Oral and Maxillofacial Pathology Dentistry
  • Azusa, CA
National Provider Identifier
1609916956
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
45136 Issued in CA
Legal business name
KUEI SHU LIAO D.D.S.INC
Practice address
680 E Alosta Ave Ste 108
Azusa, CA 91702-2710
Phone
(626) 812-6612
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Dr. Kuei Shu Liao, DDS
Title
President
Phone
(626) 812-6612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0106X 45136 CA Primary

Addresses

Primary practice location

680 E Alosta Ave Ste 108
Azusa, CA 91702-2710

Mailing address

680 E Alosta Ave Ste 108
Azusa, CA 91702-2710
Phone (626) 812-6612

National Provider Directory

National Provider Directory
Tax ID family
Kuei Shu Liao2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

680 E Alosta Ave
Ste 108
Azusa, CA 91702
Phone (626) 679-4091

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1609916956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 E ALOSTA AVE STE 108",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022710",
            "telephone_number": "626-812-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 E ALOSTA AVE STE 108",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022710",
            "telephone_number": "626-812-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUEI SHU LIAO D.D.S.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "LIAO",
        "authorized_official_first_name": "KUEI",
        "authorized_official_middle_name": "SHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-812-6612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "CA",
            "license": "45136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Azusa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.