Individual provider Active NPI

Yuan-Young Liu, D.M.D.

  • General Practice Dentistry
  • Wethersfield, CT
National Provider Identifier
1992801468
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
008563 Issued in CT
Practice address
899 Silas Deane Hwy, 2ND Floor North
Wethersfield, CT 06109-4302
Phone
(860) 563-1688
Fax
(860) 257-4290
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 008563 CT Primary

Addresses

Primary practice location

899 Silas Deane Hwy, 2ND Floor North
Wethersfield, CT 06109-4302

Mailing address

156 Twin Hills Dr
Longmeadow, MA 01106-2952
Phone (413) 567-7520

Other names 1

  • Dr. Young Liu Professional name

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

State licenses

LicenseStateTypeSpecialty
008563CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wethersfield Family Dental Center LLC General Practice Current Accepting new patients

Locations

899 Silas Deane Hwy
Ste 2
Wethersfield, CT 06109
Phone (860) 563-1688

Organizations & group practices 1

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1992801468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 TWIN HILLS DR",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011062952",
            "telephone_number": "413-567-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 SILAS DEANE HWY, 2ND FLOOR NORTH",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094302",
            "telephone_number": "860-563-1688",
            "fax_number": "860-257-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "YUAN-YOUNG",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "008563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOUNG",
            "last_name": "LIU",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wethersfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.