Organization Active NPI

Kimberly a Liao DDS Inc

  • General Practice Dentistry
  • South San Francisco, CA
National Provider Identifier
1861942856
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
59634 Issued in CA
Legal business name
KIMBERLY A LIAO DDS INC
Practice address
415 Grand Ave Ste 102
South San Francisco, CA 94080-3614
Phone
(650) 822-8842
NPI assigned
Oct 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Kimberly Liao, DDS
Title
Owner
Phone
(650) 822-8842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 59634 CA Primary

Addresses

Primary practice location

415 Grand Ave Ste 102
South San Francisco, CA 94080-3614

Mailing address

415 Grand Ave Ste 102
South San Francisco, CA 94080-3614
Phone (650) 822-8842

National Provider Directory

National Provider Directory

Locations

415 Grand Ave
Ste 102
South San Francisco, CA 94080
Phone (650) 822-8842

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1861942856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 GRAND AVE STE 102",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803614",
            "telephone_number": "650-822-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 GRAND AVE STE 102",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803614",
            "telephone_number": "650-822-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY A LIAO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "LIAO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-822-8842",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.