NPIMap

Organization Active NPI

Jin Liu DDS Dental Corporation

  • Dental Clinic/Center
  • Alhambra, CA
National Provider Identifier
1700383767
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
54174 Issued in CA
Legal business name
JIN LIU DDS DENTAL CORPORATION
Practice address
407 W Main St
Alhambra, CA 91801-3433
Phone
(626) 281-6642
NPI assigned
Apr 6, 2018
Last updated
Apr 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Authorized official

Name
Jin Liu, DDSNPI 1538462916
Title
President
Phone
(626) 281-6642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 54174 CA Primary

Addresses

Primary practice location

407 W Main St
Alhambra, CA 91801-3433

Mailing address

407 W Main St
Alhambra, CA 91801-3433

National Provider Directory

National Provider Directory

Locations

407 W Main St
Alhambra, CA 91801
Phone (626) 281-6642

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1700383767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W MAIN ST",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W MAIN ST",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013433",
            "telephone_number": "626-281-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIN LIU DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "JIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-281-6642",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "54174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.