Active NPI
Kai Rong Johnny Liu, DDS
- Dentist
- Dublin, CA
National Provider Identifier
1669653721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 55066
- Practice address
- 7600 Dublin Blvd
Suite 150
Dublin, CA 94568-2909 - Phone
- (925) 833-8838
- Fax
- (925) 833-8075
- NPI assigned
- Nov 16, 2007
- Last updated
- Dec 29, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 55066 | CA | Primary |
Addresses
Primary practice location
7600 Dublin Blvd
Suite 150
Dublin, CA 94568-2909
Mailing address
7600 Dublin Blvd
Suite 150
Dublin, CA 94568-2909
Phone (925) 833-8838
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 |
|---|---|---|---|
| 55066 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1669653721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 DUBLIN BLVD",
"address_2": "SUITE 150",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945682909",
"telephone_number": "925-833-8838",
"fax_number": "925-833-8075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 DUBLIN BLVD",
"address_2": "SUITE 150",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945682909",
"telephone_number": "925-833-8838",
"fax_number": "925-833-8075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "KAI RONG JOHNNY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-16",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "55066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.