Individual provider Active NPI

Hsin-Fong Liao, DDS

  • Endodontics
  • Burien, WA
National Provider Identifier
1972868263
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DE60119341 Issued in WA
Practice address
116 SW 148TH St
D100
Burien, WA 98166-1983
Phone
(206) 426-7999
Fax
(206) 246-7788
NPI assigned
Jul 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60119341 WA
Endodontics 1223E0200X DE60119341 WA Primary
General Practice Dentistry 1223G0001X DE60119341 WA

Addresses

Primary practice location

116 SW 148TH St
D100
Burien, WA 98166-1983

Mailing address

116 SW 148TH St
D100
Burien, WA 98166-1983
Phone (206) 426-7999

Other names 1

  • Julia Liao Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20160407000523 WA Order and Referring Only - DentistPractitioner - Dentist 3678871670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60119341WAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
H Todd Su DDS PLLC Dentist PastSince Oct 14, 2022 Accepting new patients
Son and Lien Nguyen, PS General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1972868263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 SW 148TH ST",
            "address_2": "D100",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661983",
            "telephone_number": "206-426-7999",
            "fax_number": "206-246-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 SW 148TH ST",
            "address_2": "D100",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661983",
            "telephone_number": "206-426-7999",
            "fax_number": "206-246-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAO",
        "first_name": "HSIN-FONG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60119341",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE60119341",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60119341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "LIAO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.