NPIMap

Organization Active NPI

Lloyd K. Liu DMD, PC

  • General Practice Dentistry
  • Draper, UT
National Provider Identifier
1811057284
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
89-144630-9921 Issued in UT
Legal business name
LLOYD K. LIU DMD, PC
Practice address
432 East 12300 South
Suite 8
Draper, UT 84020
Phone
(801) 553-2588
Fax
(801) 553-2100
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lloyd K. Liu, DMDNPI 1184798399
Title
President of Corporation
Phone
(801) 553-2588

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
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 89-144630-9921 UT Primary

Addresses

Primary practice location

432 East 12300 South
Suite 8
Draper, UT 84020

Mailing address

432 East 12300 South
Suite 8
Draper, UT 84020
Phone (801) 553-2588

Other identifiers 3

IdentifierTypeStateIssuer
789803OtherUTUNITED CONCORDIA TRICARE
144630OtherUTDELTA DENTAL
528904611024MedicaidUT

National Provider Directory

National Provider Directory

Locations

432 E 12300 S
Ste 8
Draper, UT 84020
Phone (801) 553-2588

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811057284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 EAST 12300 SOUTH",
            "address_2": "SUITE 8",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "84020",
            "telephone_number": "801-553-2588",
            "fax_number": "801-553-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 EAST 12300 SOUTH",
            "address_2": "SUITE 8",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "84020",
            "telephone_number": "801-553-2588",
            "fax_number": "801-553-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLOYD K. LIU DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "801-553-2588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "89-144630-9921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA TRICARE",
            "identifier": "789803",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "144630",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528904611024",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.