Ivy X. Li, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

47934 Issued in CA

Practice address

945 W Duarte Rd
Monrovia, CA 91016-4306

Phone

(626) 445-2178

NPI assigned

Dec 27, 2006

Last updated

Nov 23, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Li&Wen Dental Corporation

  • Dentist
  • Monrovia, CA
  • NPI 1942667217
  NPD (past) Authorized official

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1124183140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 W DUARTE RD",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910164306",
            "telephone_number": "626-445-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 W DUARTE RD",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910164306",
            "telephone_number": "626-445-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "IVY",
        "middle_name": "X.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "47934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124183140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lizbeth Leyva
• Maria Leyva
• Alisha Li
• Christopher Li
• Ethan Li
• Kristen Li
• Mengqi Li
• Wilson Li
• Li&Wen Dental Corporation
• Becky Liang

• Dentist in Monrovia, CA
• Providers in Monrovia, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.