Gary Gang Liu, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

102597 Issued in CA

Practice address

10602 Chapman Ave Ste 200
Garden Grove, CA 92840-3147

Phone

(714) 537-0700

NPI assigned

May 25, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Xie & Liu Dental Partnership

  • Pediatric Dentistry
  • Irvine, CA
  • NPI 1255059044
  NPD Authorized official
• Healthy Smiles for Kids of Orange County

  • Pediatric Dentistry
  • Garden Grove, CA
  • NPI 1720292949
  NPD (past)

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1962993824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24970 KEISSEL RD",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923249687",
            "telephone_number": "909-247-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10602 CHAPMAN AVE STE 200",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928403147",
            "telephone_number": "714-537-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4650 W Sunset Blvd # 116",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900276062",
            "country_code": "US",
            "telephone_number": "323-361-2130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "GARY",
        "middle_name": "GANG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-25",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "102597",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "102597",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carey Denice Lindsay, M.A. CCC-SLP
• Carson Hing-Ka Ling, MD
• Linh Khanh Lipham
• Isaac Ty Little
• Aniyah Littlejohn, BCAT
• Karen Liu
• Norman Hontin Liu, M.D.
• Lori L Livingston
• LL Provider Inc
• LN Surgery Clinic

• Pediatric Dentistry in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.