Individual provider Active NPI

Yaling Liu, DDS,PHD

  • Dentist
  • Gainesville, FL
National Provider Identifier
1871834945
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN21625 Issued in FL
Practice address
3700 Windmeadows Blvd Apt M151
Gainesville, FL 32608-0430
Phone
(352) 219-3158
NPI assigned
Mar 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN21625 FL Primary

Addresses

Primary practice location

3700 Windmeadows Blvd Apt M151
Gainesville, FL 32608-0430

Mailing address

3700 Windmeadows Blvd Apt M151
Gainesville, FL 32608-0430
Phone (352) 219-3158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170301001577 FL Order and Referring Only - DentistPractitioner - Dentist 6901180421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1871834945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WINDMEADOWS BLVD APT M151",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326080430",
            "telephone_number": "352-219-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WINDMEADOWS BLVD APT M151",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326080430",
            "telephone_number": "352-219-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "YALING",
        "credential": "DDS,PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.