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MR. JOHNNY S LIU DDS
NPI 1124127956
Dentist in Alta Loma, CA

Active since September 21, 2006PECOS Enrolled
7168 ARCHIBALD AVE, SUITE 200, ALTA LOMA, CA 91701(909) 944-3120(909) 483-3957 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Johnny S Liu Dds NPPES

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

MR. JOHNNY S LIU DDS (NPI 1124127956) is an individual dentist in Alta Loma, California, licensed in California (51966) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124127956
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. JOHNNY S LIUCredential: DDS
Location Address7168 ARCHIBALD AVE, SUITE 200Alta Loma, CA 91701
Mailing Address7168 Archibald Ave, Suite 200Alta Loma, CA 91701 · (909) 944-3120 · Fax (909) 483-3957
Phone(909) 944-3120
Fax(909) 483-3957
Sole ProprietorNo
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124127956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 51966
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.
7168 ARCHIBALD AVE, Alta Loma, CA 91701
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Johnny S Liu Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91701 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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

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

R&R RECOVERY SERVICE, LLC
Specialist/Technologist, Health Information
7168 ARCHIBALD AVE, SUITE 270
ALTA LOMA, CA 91701
San Bernardino County (909) 944-1100

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 Johnny Liu's NPI number?

The NPI number for Johnny Liu is 1124127956. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Johnny Liu located?

Johnny Liu practices at 7168 Archibald Ave Suite 200, Alta Loma, CA 91701. The listed phone number is (909) 944-3120.

What is Johnny Liu's specialty?

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

Is Johnny Liu enrolled in Medicare?

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

What insurance does Johnny Liu accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Johnny 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 Johnny Liu was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.