Shaochen Liu, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

05035017 Issued in PA

Practice address

101 Old York Rd
Suite 401
Jenkintown, PA 19046

Phone

(215) 884-2870

Fax

(215) 884-2709

NPI assigned

Aug 15, 2006

Last updated

Oct 20, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prime Dental Associates, LLC

  • Dental Clinic/Center
  • Jenkintown, PA
  • NPI 1952901704
  NPD Authorized official

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1659384840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OLD YORK RD",
            "address_2": "SUITE 401",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463912",
            "telephone_number": "215-884-2707",
            "fax_number": "215-884-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD YORK RD",
            "address_2": "SUITE 401",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "19046",
            "telephone_number": "215-884-2870",
            "fax_number": "215-884-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "SHAOCHEN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "05035017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018826210001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linden Browning Inc (Right at Home of Bucks County)
• Karen Lindenbaum, M.ED.
• Arthur B Lintgen, M.D.
• Jacob Lipkin, MD
• Kathleen Marie Litt, CRNP
• Living With Ease Home Care LLC
• Lki Group, LLC (Helpsource)
• Llgtransportation
• Kamryn Lombardi
• Charles David Long, MD

• Dentist in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.