Active NPI
Kiong Sen Liao, M.D.
- Family Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1710292032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 28012
- Practice address
- 608 NW 9TH St
#1100
Oklahoma City, OK 73102-1068 - Phone
- (405) 231-3000
- Fax
- (405) 231-3073
- NPI assigned
- Aug 11, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28012 | OK | Primary |
Addresses
Primary practice location
608 NW 9TH St
#1100
Oklahoma City, OK 73102-1068
Mailing address
608 NW 9TH St
#1100
Oklahoma City, OK 73102-1068
Phone (405) 231-3000
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28012 | OK | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1710292032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 NW 9TH ST",
"address_2": "#1100",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731021068",
"telephone_number": "405-231-3000",
"fax_number": "405-231-3073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 NW 9TH ST",
"address_2": "#1100",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731021068",
"telephone_number": "405-231-3000",
"fax_number": "405-231-3073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIAO",
"first_name": "KIONG SEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-11",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "28012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.