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1376293175 NPI number — JENNY CHEN LIU DDS

NPI Number: 1376293175
Health Care Provider/Practitioner: JENNY CHEN LIU DDS

Information about “1376293175” NPI (JENNY CHEN LIU DDS) exists in 1376293175 in HTML format HTML  |  1376293175 in plain Text format TXT  |  1376293175 in PDF (Portable Document Format) PDF  |  1376293175 in an XML format XML  formats.

NPI Number : 1376293175 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376293175",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LIU",
    "FirstName": "JENNY",
    "MiddleName": "CHEN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "14 WILLIAM ST W",
    "SecondLineMailingAddress": "UNIT B",
    "MailingAddressCityName": "GREENWICH",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06830",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "209-915-5760",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "127 GREYROCK PL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STAMFORD",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06901-3100",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-604-2262",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/24/2022",
    "LastUpdateDate": "04/01/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223P0221X",
          "TaxonomyName": "Pediatric Dentistry",
          "LicenseNumber": "14185",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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