Individual provider Active NPI

Ruiwei Liang

  • General Practice Dentistry
  • Anthem, AZ
National Provider Identifier
1811506322
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12657 Issued in AZ
Practice address
39422 N Daisy Mountain Dr
Anthem, AZ 85086-6703
Phone
(919) 448-4827
NPI assigned
Jul 30, 2020
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 38371 TX
General Practice Dentistry 1223G0001X D11270 OR
General Practice Dentistry 1223G0001X D12657 AZ Primary

Addresses

Primary practice location

39422 N Daisy Mountain Dr
Anthem, AZ 85086-6703

Mailing address

39422 N Daisy Mountain Dr
Anthem, AZ 85086-6703
Phone (919) 448-4827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201016002108 OR Order and Referring Only - DentistPractitioner - Dentist 5496175226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38371TXMDCounseling Psychologist
D12657AZMDGeneral Practice Dentistry
D11270ORMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1811506322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39422 N DAISY MOUNTAIN DR",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850866703",
            "telephone_number": "919-448-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39422 N DAISY MOUNTAIN DR",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850866703",
            "telephone_number": "919-448-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIANG",
        "first_name": "RUIWEI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38371",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11270",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D12657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthem, AZ

Sources for this page

Verify at the official NPI Registry.