Huanan Li, DMD, MS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61109545 Issued in WA

Practice address

5611 119TH Ave SE Ste 1
Bellevue, WA 98006-3799

Phone

(425) 746-6454

Fax

(425) 746-6458

NPI assigned

Jun 14, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1003346727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5611 119TH AVE SE STE 1",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980063799",
            "telephone_number": "425-746-6454",
            "fax_number": "425-746-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5611 119TH AVE SE STE 1",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980063799",
            "telephone_number": "425-746-6454",
            "fax_number": "425-746-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "HUANAN",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "123308",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "61109545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Nikol Lezamiz, PHYSICAL THERAPIST
• Lgmollica Group, LLC
• Anna Marie Li, DPT
• Bohou Li
• Fan Li, DO
• Jian Min Li, L.M.P.
• Jieyang Li
• Jin Hua Li, LMP
• Lin Li, M.D.
• Lori Li

• General Practice Dentistry in Bellevue, WA
• Providers in Bellevue, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.