Individual provider Active NPI

Chengming Li, DDS

  • Dentist
  • Madera, CA
National Provider Identifier
1225737588
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
108952 Issued in CA
Practice address
950 E Almond Ave Ste 102
Madera, CA 93637-5694
Phone
(559) 675-3262
NPI assigned
Feb 27, 2023
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 108952 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

950 E Almond Ave Ste 102
Madera, CA 93637-5694

Mailing address

950 E Almond Ave Ste 102
Madera, CA 93637-5694
Phone (559) 675-3262

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

LicenseStateTypeSpecialty
108952CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Chengming Li D.D.S., Inc CurrentSince Mar 17, 2024 Accepting new patients
Dawn Z Power Dental Inc PastSince Jul 16, 2023 Accepting new patients

Locations

950 E Almond Ave
Ste 102
Madera, CA 93637
Phone (559) 672-3262

Organizations & group practices 2

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": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1225737588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E ALMOND AVE STE 102",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375694",
            "telephone_number": "559-675-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E ALMOND AVE STE 102",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375694",
            "telephone_number": "559-675-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "CHENGMING",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-07-14",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108952",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.

Verify at the official NPI Registry.