CHARLES(CHIAHO) LIU (NPI# 1639103724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639103724 |
| Entity Type | Individual |
| Full Name | CHARLES(CHIAHO) LIU |
| Credential | DMD |
| Practice Address |
2558 W 4th St Ontario OH 44906-1209 |
| Practice Telephone | 4196833131 |
| Mailing Telephone | 4196833131 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2018-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30-02-20402 | OH | Dental Providers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 20402 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0199404 | 05 |
| Street Address |
2558 W 4TH ST |
| City | ONTARIO |
| State | OH |
| Zip Code | 44906-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245217496 | Paul Andrew Chang | Internal Medicine | 2558 W 4th St, Ontario, OH 44906-1209 | 2005-12-29 |
| 1649741885 | Mansfield Dental Sleep Solution | Durable Medical Equipment & Medical Supplies | 2558 W 4th St, Ontario, OH 44906-1209 | 2018-12-16 |
| 1952466476 | Paul A. Chang, Md, Inc. | Pediatrics | 2558 W 4th St, Ontario, OH 44906-1209 | 2006-12-26 |
| 1982765640 | Irene I Lin | Dentist | 2558 W 4th St, Ontario, OH 44906-1209 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920155 | Jonathan Clevenger | Pharmacist | 1455 North Lexington-springmill Road, Ontario, OH 44906 | 2020-10-21 |
| 1366083297 | Jennifer Robin Young | Technician | 60 Sherman Ave, Mansfield, OH 44906 | 2019-10-02 |
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 1871098855 | Med Gear Plus, LLC | Durable Medical Equipment & Medical Supplies | 1041 Park Ave W, Mansfield, OH 44906 | 2018-03-29 |
| 1912401209 | Bradley Anderson | Dietitian, Registered | 1025 South Trimble Rd., Mansfield, OH 44906 | 2018-03-21 |
| 1104325182 | Nancy Labaki | Speech-Language Pathologist | 2011 W. Fourth St., Mansfield, OH 44906 | 2018-02-06 |
| 1720518319 | Stephen Anderson | Counselor | 680 Park Ave W., Mansfield, OH 44906 | 2017-06-15 |
| 1427422518 | Jill A Waite | Counselor | 33 S. Lexington-springmill Road, Mansfield, OH 44906 | 2015-11-30 |
| 1992125397 | Taryn Boyd | Physical Therapist | 1025 S Trimble, Mansfield, OH 44906 | 2014-04-24 |
| 1356760870 | Sarah Brandyberry | Social Worker | 1025 S. Trimble Rd., Mansfield, OH 44906 | 2014-04-11 |
| Find all providers in zip 44906 | ||||
| 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 |
|---|---|---|---|---|
| 1285287995 | Ha Tran Tsai Dental Corporation | Dentist | 1361 East 4th Street, Ontario, CA 91764 | 2019-07-22 |
| 1447717269 | Pomona Community Health Center | Dentist | 1020 N Vine Ave, Ontario, CA 91762-1917 | 2019-02-28 |
| 1710444534 | Pomona Community Health Center | Dentist | 1221 S Oaks Ave, Ontario, CA 91762-4742 | 2019-02-28 |
| 1174080980 | Pomona Community Health Center | Dentist | 1390 W Francis St, Ontario, CA 91762-6014 | 2019-02-28 |
| 1134686918 | Pomona Community Health Center | Dentist | 1605 E D St, Ontario, CA 91764-4405 | 2019-02-27 |
| 1659838431 | Pomona Community Health Center | Dentist | 5555 Howard St, Ontario, CA 91762-4612 | 2019-02-27 |
| 1538626312 | Pomona Community Health Center | Dentist | 1845 S Sultana Ave, Ontario, CA 91761-5326 | 2019-02-27 |
| 1366812026 | Gundong Lee | Dentist | 2800 E Riverside Dr Apt 113, Ontario, CA 91761-7486 | 2015-10-06 |
| 1407257306 | Jedediah T Burton | Dentist | 640 E Princeton St, Ontario, CA 91764-1809 | 2014-09-10 |
| 1851791131 | Doo Yong Lim | Dentist | 2200 S Mountain Ave Ste C, Ontario, CA 91762-6717 | 2014-08-24 |
| Find all providers in ONTARIO | ||||
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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.