Active NPI
Kimberly Abaya Liao, D.D.S.
- Dentist
- Alameda, CA
National Provider Identifier
1962717652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 59634
- Practice address
- 2042 Central Ave
Alameda, CA 94501-4211 - Phone
- (510) 523-1995
- Fax
- (510) 523-6155
- NPI assigned
- Aug 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 59634 | CA | Primary |
Addresses
Primary practice location
2042 Central Ave
Alameda, CA 94501-4211
Mailing address
2042 Central Ave
Alameda, CA 94501-4211
Phone (510) 523-1995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282089600000",
"number": "1962717652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2042 CENTRAL AVE",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945014211",
"telephone_number": "510-523-1995",
"fax_number": "510-523-6155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2042 CENTRAL AVE",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945014211",
"telephone_number": "510-523-1995",
"fax_number": "510-523-6155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIAO",
"first_name": "KIMBERLY",
"middle_name": "ABAYA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-18",
"last_updated": "2010-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "59634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.