Individual provider Active NPI

CHI Wei Liu, DDS

  • Dentist
  • Greensboro, NC
National Provider Identifier
1891273488
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11612 Issued in NC
Practice address
604 Dolley Madison Rd
Greensboro, NC 27410-4206
Phone
(336) 854-2990
NPI assigned
Aug 6, 2018
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11612 NC Primary

Addresses

Primary practice location

604 Dolley Madison Rd
Greensboro, NC 27410-4206

Mailing address

3319 Ralston CT
High Point, NC 27265-9457
Phone (512) 734-7011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180911001917 NC Order and Referring Only - DentistPractitioner - Dentist 9830449990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11612NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Riccobene & Associates I, DDS, P.a. CurrentSince Jun 9, 2024 Accepting new patients
Buck Linthicum D.D.S., P.a. Dentist PastSince Jun 9, 2024 Accepting new patients

Locations

604 Dolley Madison Rd
Greensboro, NC 27410
Phone (336) 854-2990

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1891273488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 RALSTON CT",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659457",
            "telephone_number": "512-734-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 DOLLEY MADISON RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104206",
            "telephone_number": "336-854-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "CHI WEI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-06",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.