JERRY CHIA YE LIU
NPI 1033782230
Dentist in Santa Rosa, CA

Q: What is Jerry Liu's NPI number?

The NPI number for Jerry Liu is 1033782230. It was assigned to this individual provider in the NPPES registry on July 23, 2021.

Q: What is Jerry Liu's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Liu was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 23, 2021PECOS Enrolled

4100 MONTGOMERY DR, SANTA ROSA, CA 95405(707) 536-0761 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 27, 2021, Jul 23, 2021 (2 updates tracked since 2021).

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About Jerry Chia Ye Liu NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY CHIA YE LIU (NPI 1033782230) is an individual dentist in Santa Rosa, California, licensed in California (106681) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1033782230

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJERRY CHIA YE LIU

Location Address4100 MONTGOMERY DRSanta Rosa, CA 95405-5282

Mailing Address1259 5th AveSan Francisco, CA 94122-2650 · (626) 252-2727

Phone(707) 536-0761

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 23, 2021

Last NPPES UpdateJuly 27, 20212 updates tracked since enumeration

NPPES CertifiedJuly 27, 2021

✔ NPI 1033782230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 106681

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4100 MONTGOMERY DR, Santa Rosa, CA 95405

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry Chia Ye Liu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658845276

PECOS Enrollment IDI20260706002079

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jerry Liu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bite Dental PLLC

2,571 mi

Dentist

101 BROADWAY APT 302
Brooklyn, NY 11249

Reassigned Medicare billing, New York enrollment

NPI 1275476285 (909) 255-1342

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YASAMIN SARIASLANI D.D.S

Dentist

4100 MONTGOMERY DR, STE. A
SANTA ROSA, CA 95405

Sonoma County (707) 537-2020

MARYUM TARIQ

Dentist

4100 MONTGOMERY DR
SANTA ROSA, CA 95405

Sonoma County (707) 537-2020

ANTOANELA GARBACEA D.D.S.

Dentist (General Practice)

4100 MONTGOMERY DR
SANTA ROSA, CA 95405

Sonoma County (707) 537-2020

LATA KARIR

Dentist (General Practice)

4100 MONTGOMERY DR, SUITE B
SANTA ROSA, CA 95405

Sonoma County (707) 537-2020

HAITHAM SAMI

Dentist (General Practice)

4100 MONTGOMERY DR
SANTA ROSA, CA 95405

Sonoma County (707) 536-0761

DR. WONSEOK LEE

Dentist (General Practice)

4100 MONTGOMERY DR
SANTA ROSA, CA 95405

Sonoma County (707) 537-2020

WESTERN DENTAL SERVICES, INC.

Dentist (General Practice)

4100 MONTGOMERY DR, STE. #B
SANTA ROSA, CA 95405

Sonoma County (707) 537-2020

DR. WESLEY MIN-DA CHIANG D.M.D.

Dentist (Orthodontics and Dentofacial Orthopedics)

4100 MONTGOMERY DR
SANTA ROSA, CA 95405

Sonoma County (707) 537-3600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Liu's NPI number?

The NPI number for Jerry Liu is 1033782230. It was assigned to this individual provider in the NPPES registry on July 23, 2021.

Where is Jerry Liu located?

Jerry Liu practices at 4100 Montgomery Dr, Santa Rosa, CA 95405. The listed phone number is (707) 536-0761.

What is Jerry Liu's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jerry Liu enrolled in Medicare?

Yes. Jerry Liu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jerry Liu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Liu reassigns Medicare benefits to Bite Dental PLLC (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerry Liu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerry Liu accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Jerry Liu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerry Liu was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.