Peixin Liu DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12319MN Issued in MN

Legal business name

PEIXIN LIU DDS

Doing business as

Family Dentistry

Practice address

500 Osborne Road
Suite 155 Unity Professional BLDG
Fridley, MN 55432

Phone

(763) 786-3800

Fax

(763) 786-9508

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sheri L Murray, RDA

Title

Office Manager

Phone

(763) 786-3800

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Family Dentistry Doing business as

Tax ID family

Family Dental Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Peixin Liu DDS

  • General Practice Dentistry
  • Blaine, MN
  • NPI 1093842841
  NPD tax ID
• Peixin Liu DDS

  • General Practice Dentistry
  • Blaine, MN
  • NPI 1659543320
  NPD tax ID

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962538330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OSBORNE ROAD",
            "address_2": "SUITE 155 UNITY PROFESSIONAL BLDG",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "55432",
            "telephone_number": "763-786-3800",
            "fax_number": "763-786-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OSBORNE ROAD",
            "address_2": "SUITE 155 UNITY PROFESSIONAL BLDG",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "55432",
            "telephone_number": "763-786-3800",
            "fax_number": "763-786-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEIXIN LIU DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "763-786-3800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11232MN",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12319MN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "D11232",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972584068",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760540942",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "D12319",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Akanksha Patel, DO
• Andrea Patten
• Donald A Pavelka, M.D.
• Peaceful Adult Day Center LLC.
• Peaceful Home and Community Care LLC
• Candace K Pella, PT
• Deanna Pelley, MA LPCC
• Heather Ann Penning, CNP
• Anne Perkins
• Bethany Peterson

• General Practice Dentistry in Fridley, MN
• Providers in Fridley, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.