NPIMap

Organization Active NPI

Quanli Dong DDS Inc

  • Dental Clinic/Center
  • Daly City, CA
National Provider Identifier
1255616561
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
54137 Issued in CA
Legal business name
QUANLI DONG DDS INC
Practice address
355 Gellert Blvd
Suite 152
Daly City, CA 94015-2665
Phone
(650) 755-7573
NPI assigned
Oct 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Authorized official

Name
Quanli Dong
Title
President
Phone
(650) 755-7573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 54137 CA Primary

Addresses

Primary practice location

355 Gellert Blvd
Suite 152
Daly City, CA 94015-2665

Mailing address

355 Gellert Blvd
Suite 152
Daly City, CA 94015-2665

National Provider Directory

National Provider Directory

Locations

355 Gellert Blvd
Ste 152
Daly City, CA 94015
Phone (650) 755-7573

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1255616561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 GELLERT BLVD",
            "address_2": "SUITE 152",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 GELLERT BLVD",
            "address_2": "SUITE 152",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152665",
            "telephone_number": "650-755-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANLI DONG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "DONG",
        "authorized_official_first_name": "QUANLI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-755-7573"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "54137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.