Organization Active NPI

Liwen Tao D.D.S., M.S.

  • Endodontics
  • Clearwater, FL
National Provider Identifier
1942666284
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN0012253 Issued in FL
Legal business name
LIWEN TAO D.D.S., M.S.
Practice address
2753 State Road 580 Ste 108
Clearwater, FL 33761-3351
Phone
(727) 799-6995
NPI assigned
Dec 31, 2015
Last updated
Dec 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Authorized official

Name
Liwen Tao, DDSNPI 1417059551
Title
Dr
Phone
(727) 799-6995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN0012253 FL Primary

Addresses

Primary practice location

2753 State Road 580 Ste 108
Clearwater, FL 33761-3351

Mailing address

2753 State Road 580 Ste 108
Clearwater, FL 33761-3351
Phone (727) 799-6995

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1942666284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2753 STATE ROAD 580 STE 108",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613351",
            "telephone_number": "727-799-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 STATE ROAD 580 STE 108",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613351",
            "telephone_number": "727-799-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIWEN TAO D.D.S., M.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "TAO",
        "authorized_official_first_name": "LIWEN",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "727-799-6995",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN0012253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.