Active NPI
Zhi Li, DDS
- Dentist
- Clovis, NM
National Provider Identifier
1134934672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DB-2025-0013
- Practice address
- 4017 N Prince St
Clovis, NM 88101-9705 - Phone
- (575) 762-2757
- NPI assigned
- Feb 11, 2025
- Last updated
- Feb 11, 2025
- Sex
- Male
- 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 | DB-2025-0013 | NM | Primary |
Addresses
Primary practice location
4017 N Prince St
Clovis, NM 88101-9705
Mailing address
715 W 41S Street
Los Angeles, CA 90037
Phone (402) 937-4334
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 |
|---|---|---|---|
| DB-2025-0013 | NM | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Familia Dentalclovis LLC | Current | Accepting new patients |
Locations
4017 N Prince St
Clovis, NM 88101
Phone (575) 762-2757
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1134934672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 W 41S STREET",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90037",
"telephone_number": "402-937-4334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4017 N PRINCE ST",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881019705",
"telephone_number": "575-762-2757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "ZHI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-11",
"last_updated": "2025-02-11",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "DB-2025-0013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.