Individual provider Active NPI

Janice T Liao, DDS

  • General Practice Dentistry
  • Mesa, AZ
National Provider Identifier
1659441376
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5142 Issued in AZ
Practice address
9061 E Baseline Rd
Ste. B 103
Mesa, AZ 85209-7761
Phone
(480) 380-3737
Fax
(480) 380-3739
NPI assigned
Nov 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5142 AZ Primary

Addresses

Primary practice location

9061 E Baseline Rd
Ste. B 103
Mesa, AZ 85209-7761

Mailing address

9061 E Baseline Rd
Ste. B 103
Mesa, AZ 85209-7761
Phone (480) 380-3737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160803002498 AZ Order and Referring Only - DentistPractitioner - Dentist 1355635004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5142AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Liao & Cheung Dental PLLC General Practice Past Accepting new patients
Janice T. Liao D.D.S PC General Practice 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659441376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9061 E BASELINE RD",
            "address_2": "STE. B 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852097761",
            "telephone_number": "480-380-3737",
            "fax_number": "480-380-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9061 E BASELINE RD",
            "address_2": "STE. B 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852097761",
            "telephone_number": "480-380-3737",
            "fax_number": "480-380-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAO",
        "first_name": "JANICE",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.