Individual provider Active NPI

Qiong Zhou Liu, DDS

  • Dentist
  • Edmond, OK
National Provider Identifier
1629400510
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6497 Issued in OK
Practice address
3225 Teakwood LN
Edmond, OK 73013-3721
Phone
(405) 844-8887
Fax
(405) 844-9625
NPI assigned
Aug 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6497 OK Primary

Addresses

Primary practice location

3225 Teakwood LN
Edmond, OK 73013-3721

Mailing address

5500 NW Expressway
Ste B
Warr Acres, OK 73132-5218

Other names 1

  • Amy Liu Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161021000403 OK Order and Referring Only - DentistPractitioner - Dentist 8527346881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6497OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Smile Family Dentistry PLLC Past Accepting new patients
Right Smile PLLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1629400510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 NW EXPRESSWAY",
            "address_2": "STE B",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731325218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 TEAKWOOD LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133721",
            "telephone_number": "405-844-8887",
            "fax_number": "405-844-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "QIONG",
        "middle_name": "ZHOU",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "LIU",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.