NPIMap

Organization Active NPI

Li Dentistry and Smile Design, P.C.

  • Dental Clinic/Center
  • Huntington Station, NY
National Provider Identifier
1366775702
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
051424 Issued in NY
Legal business name
LI DENTISTRY AND SMILE DESIGN, P.C.
Practice address
1927 New York Ave
Huntington Station, NY 11746-2909
Phone
(631) 683-4455
Fax
(631) 683-4453
NPI assigned
Sep 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Dr. Porfirio Antonio NunezNPI 1023238326
Title
President
Phone
(631) 683-4455

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
Dental Clinic/Center 261QD0000X 051424 NY Primary

Addresses

Primary practice location

1927 New York Ave
Huntington Station, NY 11746-2909

Mailing address

1927 New York Ave
Huntington Station, NY 11746-2909
Phone (631) 683-4455

National Provider Directory

National Provider Directory

Locations

1927 New York Ave
Huntington Station, NY 11746
Phone (631) 683-4455

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1366775702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 NEW YORK AVE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117462909",
            "telephone_number": "631-683-4455",
            "fax_number": "631-683-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 NEW YORK AVE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117462909",
            "telephone_number": "631-683-4455",
            "fax_number": "631-683-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LI DENTISTRY AND SMILE DESIGN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "PORFIRIO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-683-4455",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "051424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.