Active NPI
Kuei Shu Liao D.D.S.Inc
- Oral and Maxillofacial Pathology Dentistry
- Azusa, CA
National Provider Identifier
1609916956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 45136
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 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 Liao
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oral and Maxillofacial Surgery (Dentist)
- Whittier, CA
- NPI 1396080016
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.