Active NPI
Ruixiang Li Qin, DMD
- Dentist
- Oakland, CA
National Provider Identifier
1194230375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS101792
- Practice address
- 933 Jackson St
Oakland, CA 94607-4809 - Phone
- (510) 839-1986
- Fax
- (510) 839-1985
- NPI assigned
- Dec 9, 2017
- Last updated
- Jul 31, 2023
- 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 | DDS101792 | CA | Primary |
Addresses
Primary practice location
933 Jackson St
Oakland, CA 94607-4809
Mailing address
933 Jackson St
Oakland, CA 94607-4809
Phone (510) 839-1986
Other names 1
- Dr. Ruixiang Li
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 |
|---|---|---|---|
| DDS101792 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Li Qin Dental Practice Inc | Current | Accepting new patients | |
| Dental Office of Ruixiang Li Qin DMD Inc. | Current | Accepting new patients | |
| Ruixiang Li Qin DMD Inc | Current | Accepting new patients |
Locations
933 Jackson St
Oakland, CA 94607
Phone (510) 839-1986
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Hayward, CA
- NPI 1316628316
-
- Dental Clinic/Center
- Oakland, CA
- NPI 1518441237
-
- Dental Clinic/Center
- Oakland, CA
- NPI 1730694910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1194230375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 JACKSON ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946074809",
"telephone_number": "510-839-1986",
"fax_number": "510-839-1985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 JACKSON ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946074809",
"telephone_number": "510-839-1986",
"fax_number": "510-839-1985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QIN",
"first_name": "RUIXIANG",
"middle_name": "LI",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-09",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS101792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RUIXIANG",
"last_name": "LI",
"prefix": "DR.",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.