Active NPI
Annie Liou
- General Practice Dentistry
- Santa Clara, CA
National Provider Identifier
1740644368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 101251
- Practice address
- 3454 Victoria Ave
Santa Clara, CA 95051-2704 - Phone
- (408) 306-8558
- NPI assigned
- Apr 9, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 101251 | CA | Primary |
Addresses
Primary practice location
3454 Victoria Ave
Santa Clara, CA 95051-2704
Mailing address
3454 Victoria Ave
Santa Clara, CA 95051-2704
Phone (408) 306-8558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 26, 2017 through Dec 26, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101251 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559692800000",
"number": "1740644368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3454 VICTORIA AVE",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950512704",
"telephone_number": "408-306-8558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3454 VICTORIA AVE",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950512704",
"telephone_number": "408-306-8558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIOU",
"first_name": "ANNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-09",
"last_updated": "2019-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "101251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.