Shannon Marsha Liong, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

104082 Issued in CA

Practice address

974 Willow St
San Jose, CA 95125-2344

Phone

(408) 279-4337

NPI assigned

Mar 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kaz Uyesugi DDS Inc

  • Dentist
  • San Jose, CA
  • NPI 1003296443
  NPD (past)

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1831691989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 STARLING VIEW DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951204186",
            "telephone_number": "408-603-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 WILLOW ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252344",
            "telephone_number": "408-279-4337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 Clement Street (160) Bldg. 200 1st floor",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94121",
            "country_code": "US",
            "telephone_number": "415-221-4810 x24531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIONG",
        "first_name": "SHANNON",
        "middle_name": "MARSHA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler James Linvill
• Angelina Linville
• Kyran Linyard-Howard
• Lion Pharmacy Inc
• Lion RX Inc.
• Melissa Madlyn Liotti
• William Liou
• Lynn Jensen Lipari, LMFT, LPCC
• Megan Lipari
• Marla Dawn Lipschultz, MA

• Dentist in San Jose, CA
• Providers in San Jose, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.