Active NPI
Liqing Zhang, D.D.S.
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1649424672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019027826
- Practice address
- 4410 S Pulaski Rd
Chicago, IL 60632-4011 - Phone
- (312) 254-3300
- Fax
- (312) 254-3303
- NPI assigned
- Nov 4, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019027826 | IL | Primary |
Addresses
Primary practice location
4410 S Pulaski Rd
Chicago, IL 60632-4011
Mailing address
430 West Erie Street
Suite 200
Chicago, IL 60610
Phone (312) 274-0308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019027826 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225756800000",
"number": "1649424672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 WEST ERIE STREET",
"address_2": "SUITE 200",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60610",
"telephone_number": "312-274-0308",
"fax_number": "312-944-9499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 S PULASKI RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606324011",
"telephone_number": "312-254-3300",
"fax_number": "312-254-3303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHANG",
"first_name": "LIQING",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-04",
"last_updated": "2008-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019027826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.