Peixin Liu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11232 Issued in MN

Practice address

500 Osborne Rd NE
Ste 155 Unity Professional Building
Fridley, MN 55432

Phone

(763) 786-3800

Fax

(763) 786-9508

NPI assigned

Nov 7, 2005

Sex

Male

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 MN

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

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972584068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OSBORNE RD NE",
            "address_2": "STE 155 UNITY PROFESSIONAL BUILDING",
            "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 RD NE",
            "address_2": "STE 155 UNITY PROFESSIONAL BUILDING",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "55432",
            "telephone_number": "763-786-3800",
            "fax_number": "763-786-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "PEIXIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Mark Lindgren, M.D.
• Jane S Lindholm, M.D.
• Michael Earl Lins, M.D.
• Sylvia Lirazan, PT
• Jane H Lisko, M.D.
• Live Life Well Sevices LLC
• Live Life Well Sevices LLC
• Theodore A Longinow, M.D.
• Doreen Loomis
• Robin Christina Lowry, DPT

• 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 Jul 8, 2007; 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.