Li Feng Peter Cao, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

LL-393-15 Issued in NV

Practice address

31775 State Route 20 # A1
Oak Harbor, WA 98277

Phone

(360) 675-7573

Fax

(360) 679-8896

NPI assigned

Jul 29, 2015

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144605361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31775 STATE ROUTE 20 # A1",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "98277",
            "telephone_number": "360-675-7573",
            "fax_number": "360-679-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31775 STATE ROUTE 20 # A1",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "98277",
            "telephone_number": "360-675-7573",
            "fax_number": "360-679-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAO",
        "first_name": "LI FENG",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "LL-393-15",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2080759",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Callahan
• Nya Camanse
• Angel Lyn Faith Camello
• Lisa Louise Cannistraci, CO 60716486
• Megan Lynae Cantrell
• Martha J Caraway, SUDPT
• Careerstaff
• John James Carlson, O.D.
• Carsten B. Quinton, DDS, PLLC
• Cami Robyn Carter-Fleming, RN

• Pediatric Dentistry in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Pediatric Dentistry in Washington

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