Peter C. Liu D.D.S., Inc.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

53896 Issued in CA

Legal business name

PETER C. LIU D.D.S., INC.

Practice address

18710 Amar Rd Ste D
Walnut, CA 91789-4571

Phone

(909) 598-2999

Fax

(626) 965-9955

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Noni Cabral

Title

Front Office

Phone

(909) 598-2999

Specialties & licenses 6

Addresses

Other names 1

• Walnut Dental Specialists Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter C Liu, D.D.S

  • General Practice Dentistry
  • West Covina, CA
  • NPI 1245244417
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1902989262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18710 AMAR RD STE D",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917894571",
            "telephone_number": "909-598-2999",
            "fax_number": "626-965-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18710 AMAR RD STE D",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917894571",
            "telephone_number": "909-598-2999",
            "fax_number": "626-965-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER C. LIU D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "CABRAL",
        "authorized_official_first_name": "NONI",
        "authorized_official_title_or_position": "FRONT OFFICE",
        "authorized_official_telephone_number": "909-598-2999"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "35917",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "53896",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "49934",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "38226",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "24358",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "41855",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sonam Patel, PHARM.D.
• Andrew Paulin, ATC
• Saijai Peng, DDS., MSD.
• Yen Wen Peng, D.C.
• Mark Cadiente Peralta, D.P.T
• Marie Mar Phan, PHARM. D.
• Quy-Phung Thi Phan, D.D.S
• Jennifer Pierce
• Sandra Alicia Pinon-Chavez, M.S
• Platinum Interpreting, Inc.

• Endodontics in Walnut, CA
• Providers in Walnut, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.