Mimi Liu Law, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

33096 Issued in TX

Practice address

15950 Eldorado Pkwy Ste 100
Frisco, TX 75035-5816

Phone

(972) 540-9977

NPI assigned

Jun 19, 2017

Sex

Female

Sole proprietor

No

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Frisco Custer Star Dental Group, PC

  • General Practice Dentistry
  • Frisco, TX
  • NPI 1245532688
  NPD (past)

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497830400000",
    "number": "1942730122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15950 ELDORADO PKWY STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355816",
            "telephone_number": "972-540-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15950 ELDORADO PKWY STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355816",
            "telephone_number": "972-540-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAW",
        "first_name": "MIMI",
        "middle_name": "LIU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "33096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Lashua, M.A.
• Latched Consulting, LLC
• Andrew Lathrop
• Lauren Michelsen, D.O., P.a.
• Shannon M Laurence, MS, SLP-INTERN
• Jenel Lawson, CST
• Breanna Lawton
• Viet Le Nguyen, PHARM.D.
• Carolyn Le
• Phuong Thao Thi Le, MSN, APRN, FNP-C

• Dentist in Frisco, TX
• Providers in Frisco, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.