NPIMap

Organization Active NPI

A D Liou DDS MSD PS

  • Prosthodontics
  • Edmonds, WA
National Provider Identifier
1851630685
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
00006629 Issued in WA
Legal business name
A D LIOU DDS MSD PS
Practice address
22815 100TH Ave W
Edmonds, WA 98020-5919
Phone
(425) 776-3166
Fax
(425) 776-3881
NPI assigned
Feb 14, 2013
Last updated
Feb 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Authorized official

Name
Mrs. Brenda L Heckathorn
Title
Office Manager
Phone
(425) 776-3166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 00006629 WA Primary

Addresses

Primary practice location

22815 100TH Ave W
Edmonds, WA 98020-5919

Mailing address

22815 100TH Ave W
Edmonds, WA 98020-5919
Phone (425) 776-3166

Other names 1

  • Edmonds Prosthodontics Other name

National Provider Directory

National Provider Directory

Locations

22815 100th Ave W
Edmonds, WA 98020
Phone (425) 776-3166

NPI Registry JSON

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1851630685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22815 100TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980205919",
            "telephone_number": "425-776-3166",
            "fax_number": "425-776-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22815 100TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980205919",
            "telephone_number": "425-776-3166",
            "fax_number": "425-776-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A D LIOU DDS MSD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "HECKATHORN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "425-776-3166",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "WA",
            "license": "00006629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edmonds Prosthodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.