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DR. JACQUELINE NICOLE LIU
NPI 1669930962
Dentist - Pediatric Dentistry in Alexandria, VA

Active since March 05, 2019PECOS Enrolled
6204 LITTLE RIVER TPKE, ALEXANDRIA, VA 22312(703) 420-1079 Get Directions Write a Review

NPPES record last updated: October 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacqueline Nicole Liu NPPES

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

DR. JACQUELINE NICOLE LIU (NPI 1669930962) is an individual pediatric dentistry provider in Alexandria, Virginia, licensed in Virginia (0401418704) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Vienna.

NPPES Registry Identity

NPI1669930962
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. JACQUELINE NICOLE LIU
Location Address6204 LITTLE RIVER TPKEAlexandria, VA 22312-1714
Mailing Address8190 Strawberry Ln Apt N513Falls Church, VA 22042-1021 · (203) 715-8880
Phone(703) 420-1079
Sole ProprietorNo
Enumeration DateMarch 5, 2019
Last NPPES UpdateOctober 26, 2024
NPPES CertifiedOctober 26, 2024
✔ NPI 1669930962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in VA · 0401418704
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
6204 LITTLE RIVER TPKE, Alexandria, VA 22312
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Secondary Practice Location 1

Location 11500 Cornerside Blvd Ste 200Vienna, VA 22182-2434 · Phone (703) 821-2222

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)

Dr. Jacqueline Nicole Liu 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 22312 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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 4

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

DR. SHAHIN YOUSEFZADEH D.D.S.
Dentist (General Practice)
6204 LITTLE RIVER TPKE
ALEXANDRIA, VA 22312
Fairfax County (703) 658-3000
LANDMARK FAMILY DENTAL PLC
Dentist
6204 LITTLE RIVER TPKE
ALEXANDRIA, VA 22312
Fairfax County (703) 658-3000
LET'S SMILE OF LANDMARK PLLC
Dentist
6204 LITTLE RIVER TPKE
ALEXANDRIA, VA 22312
Fairfax County (703) 658-3000
DR. KERI TRAN DDS
Dentist
6204 LITTLE RIVER TPKE
ALEXANDRIA, VA 22312
Fairfax County (703) 658-3000

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 Jacqueline Liu's NPI number?

The NPI number for Jacqueline Liu is 1669930962. It was assigned to this individual provider in the NPPES registry on March 5, 2019.

Where is Jacqueline Liu located?

Jacqueline Liu practices at 6204 Little River Tpke, Alexandria, VA 22312. The listed phone number is (703) 420-1079.

What is Jacqueline Liu's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Jacqueline Liu enrolled in Medicare?

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

What insurance does Jacqueline 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 Jacqueline 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 Jacqueline Liu was last updated on October 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.