PEIXIN LIU DDS (NPI# 1093842841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093842841 |
| Entity Type | Organization |
| Organization Name | PEIXIN LIU DDS |
| Other Organization Name | FAMILY DENTAL CARE |
| Practice Address |
2407 109th Avenue Suite 240 Blaine MN 55449 |
| Practice Telephone | 7637838200 |
| Practice Fax Number | 7637837197 |
| Mailing Telephone | 7637838200 |
| Mailing Fax Number | 7637837197 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SHERI L MURRAY (OFFICE MANAGER) |
| Authorized Official Telephone | 7637863800 |
| Authorized Official Credential | RDA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
D11232MN | MN | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D12319MN | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1760540942 | 01 | |
| MN | LICENSE | D11232 | 01 |
| MN | LICENSE | D12319 | 01 |
| NPI | 1972584068 | 01 |
| Other Name | Type Code |
|---|---|
| Family Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659543320 | Peixin Liu Dds | Dentist | 2407 109th Avenue, Suite 240, Blaine, MN 55449 | 2008-04-02 |
| 1962538330 | Peixin Liu Dds | Dentist | 500 Osborne Road, Suite 155 Unity Professional Bldg, Fridley, MN 55432 | 2007-02-27 |
| Street Address |
2407 109TH AVENUE SUITE 240 |
| City | BLAINE |
| State | MN |
| Zip Code | 55449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659543320 | Peixin Liu Dds | Dentist | 2407 109th Avenue, Suite 240, Blaine, MN 55449 | 2008-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736368 | Landon Thomas Case | Dentist | 10729 Town Square Drive Ne, Ste 100, Blaine, MN 55449 | 2020-07-02 |
| 1881168441 | Ear Institutes, LLC | Otolaryngology | 4365 Pleasant Ridge Dr Ne, Suite 106, Blaine, MN 55449 | 2019-01-17 |
| 1841776242 | Kristin Broback | Nurse Practitioner | 10705 Town Square Dr Ne #100, Blaine, MN 55449 | 2018-07-18 |
| 1043719016 | Robin Lynn Broen | Registered Nurse | 3012 129th Ave Ne, Blaine, MN 55449 | 2018-02-06 |
| 1194197368 | Lund Health Professional Corporation | Chiropractor | 1360 101st Ave Ne, Suite 140, Blaine, MN 55449 | 2015-10-27 |
| 1871989806 | Blaine Wp II, LLC | Assisted Living Facility | 12402 Jamestown Street Ne, Blaine, MN 55449 | 2015-04-07 |
| 1154761633 | Jean Budge | Marriage & Family Therapist | 11800 Aberdeen Street Ne, Suite 100, Blaine, MN 55449 | 2013-06-28 |
| 1295013498 | Jeff K Yu | Veterinarian | 11850 Aberdeen St Ne, Blaine, MN 55449 | 2011-07-22 |
| 1528394707 | Julie Ann Eibensteiner | Physical Therapist | 11304 Davenport Circle Ne #a, Minneapolis, MN 55449 | 2009-10-23 |
| 1871725333 | Deborah Kathryn Zongo | Nurse Practitioner | 10190 Baltimore St Ne Ste 100, Blaine, MN 55449 | 2009-08-18 |
| Find all providers in zip 55449 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396398160 | Taylor Johnson | Dentist | 10155 University Ave Ne Ste 112, Blaine, MN 55434-8058 | 2019-07-22 |
| 1962939546 | Nicolette Gengel | Dentist | 1384 109th Ave Ne Ste 200, Blaine, MN 55434 | 2017-05-15 |
| 1982007803 | Blaine Dentistry, PC | Dentist | 1384 109th Ave Ne, Suite 200, Blaine, MN 55434-4515 | 2014-10-06 |
| 1063725109 | Melstrom Dental Pllc | Dentist | 11949 Central Ave Ne, Blaine, MN 55434-3911 | 2010-07-19 |
| 1861703639 | Choong Hyun Lee | Dentist | 341 C Street, Blaine, WA 98230 | 2010-06-28 |
| 1982930525 | John Charles Hitzemann | Dentist | 11354 Wildwood Ct Ne, Blaine, MN 55449-5901 | 2009-11-01 |
| 1477763092 | Donald Lyle Rathe | Dentist | 341 C . St., Blaine, WA 98230 | 2007-05-23 |
| 1154546877 | Carlos Ernesto Campodonico | Dentist | 11806 Aberdeen St Ne Ste 150, Blaine, MN 55449-4748 | 2007-04-16 |
| 1134266869 | John Harold Troselius | Dentist | 9120 Baltimore St Ne, Blaine, MN 55449-4337 | 2007-01-31 |
| 1215003371 | Pdg,p.a. | Dentist | 12904 Central Ave Ne, Blaine, MN 55434-4147 | 2006-11-28 |
| Find all providers in BLAINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.