Active NPI
Ying Li
- Dentist
- Quincy, MA
National Provider Identifier
1104593243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1859200
- Practice address
- 235 Quincy Ave
Quincy, MA 02169-6754 - Phone
- (617) 479-8400
- NPI assigned
- Aug 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1859200 | MA | Primary |
Addresses
Primary practice location
235 Quincy Ave
Quincy, MA 02169-6754
Mailing address
175 Freeman St Apt 223
Brookline, MA 02446-3565
Phone (857) 361-2023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1859200 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Q- Smile Dental Spa | Past | Accepting new patients | |
| Boston Brightsmile LLC | Past | Accepting new patients | |
| Q Smile PC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Wakefield, MA
- NPI 1104615053
-
- Dental Clinic/Center
- Quincy, MA
- NPI 1336487883
-
- Health Maintenance Organization
- Quincy, MA
- NPI 1104123082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634169600000",
"number": "1104593243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 FREEMAN ST APT 223",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463565",
"telephone_number": "857-361-2023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 QUINCY AVE",
"city": "QUINCY",
"state": "MA",
"postal_code": "021696754",
"telephone_number": "617-479-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "YING",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-26",
"last_updated": "2021-10-14",
"certification_date": "2021-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1859200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.