Kangshan Liu, M.D.D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54419 Issued in CA

Practice address

20395 Pacifica Dr
Suite 109
Cupertino, CA 95014-3016

Phone

(408) 996-2468

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891904033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 LAKEVIEW DR",
            "city": "HILLSBOROUGH",
            "state": "CA",
            "postal_code": "940107328",
            "telephone_number": "650-898-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20395 PACIFICA DR",
            "address_2": "SUITE 109",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143016",
            "telephone_number": "408-996-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "KANGSHAN",
        "credential": "M.D.D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Biao Liu
• Geoffrey Kuo-Chang Liu, D.M.D.
• Hao Liu, OMD, L. AC
• Hongli Liu, L.AC.
• James C Liu, M.D.
• Lucy Y Liu, RN
• Zhenghua Liu, L.AC., O.M.D.
• Alice J. Lively Hamill, DO
• Gloria Lo, M.D.
• Jacqueline T Lo, DMD

• All providers in Cupertino, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.