Organization Active NPI

CHI-Ing Li

  • Dentist
  • Chicago, IL
National Provider Identifier
1366616815
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CHI-ING LI
Practice address
746 W 79TH St
Chicago, IL 60620-2424
Phone
(773) 488-5282
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
CHI-Ing Li, D.D.S.
Title
Dentist
Phone
(773) 488-5282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

746 W 79TH St
Chicago, IL 60620-2424

Mailing address

746 W 79TH St
Chicago, IL 60620-2424
Phone (773) 488-5282

Other identifiers 1

IdentifierTypeStateIssuer
1002713MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1366616815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 W 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606202424",
            "telephone_number": "773-488-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 W 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606202424",
            "telephone_number": "773-488-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHI-ING LI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "CHI-ING",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-488-5282",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002713",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.