Kehan Li, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

G1-0001435 Issued in DE

Practice address

60 Wolf Creek Blvd
Dover, DE 19901-4971

Phone

(302) 734-7634

NPI assigned

Jul 11, 2016

Sex

Male

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

State licenses

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1134571565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 WELDIN RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198034828",
            "telephone_number": "267-475-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WOLF CREEK BLVD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014971",
            "telephone_number": "302-734-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "KEHAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-11",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040918",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0001435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Elizabeth Lewicki, LCSW, RPT
• Bernard Alan Lewis, DDS
• Kim M Lewis, MPT
• Tamara Lee Lewis, MSN, RN, FNE
• Jeffrey Li, PA-C
• Life Abundantly Doula Services
• Life Choice
• Lifespan Medical Services LLC
• Lifestyle Counseling (YPH Consultants, LLC)
• Lighthouse Community Support

• General Practice Dentistry in Dover, DE
• Providers in Dover, DE by specialty
• General Practice Dentistry in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; 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.