Organization Active NPI

Dli Dental P.a.

Doing business as Bellaire Dental

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1285071746
Registry record updated Jun 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23786 Issued in TX
Legal business name
DLI DENTAL P.A.
Doing business as
Bellaire Dental
Practice address
8880 Bellaire Blvd Ste F
Houston, TX 77036-4621
Phone
(281) 888-5150
Fax
(281) 888-5584
NPI assigned
May 23, 2013
Last updated
Jun 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2023

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

Authorized official

Name
Dr. Dongfang Li, DDSNPI 1659602993
Title
Owner/Dentist
Phone
(281) 888-5150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23786 TX Primary

Addresses

Primary practice location

8880 Bellaire Blvd Ste F
Houston, TX 77036-4621

Mailing address

8880 Bellaire Blvd Ste F
Houston, TX 77036-4621
Phone (281) 888-5150

Other identifiers 1

IdentifierTypeStateIssuer
1659602993MedicaidTX

Other names 1

  • Bellaire Dental Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230208003154 TX Part B Supplier - Clinic/Group Practice 8628440179 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

8880 Bellaire Blvd
Ste F
Houston, TX 77036
Phone (281) 888-5150

Practitioners & affiliated clinicians

Practitioners 3

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": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687564800000",
    "number": "1285071746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 BELLAIRE BLVD STE F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364621",
            "telephone_number": "281-888-5150",
            "fax_number": "281-888-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 BELLAIRE BLVD STE F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364621",
            "telephone_number": "281-888-5150",
            "fax_number": "281-888-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLI DENTAL P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2023-06-24",
        "certification_date": "2023-06-24",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "DONGFANG",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "281-888-5150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659602993",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellaire Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.