Individual provider Active NPI

Lili Li, D.M.D.

  • General Practice Dentistry
  • Walnut Creek, CA
National Provider Identifier
1396815684
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43189 Issued in CA
Practice address
2021 Ygnacio Valley Rd Ste B1
Walnut Creek, CA 94598-3387
Phone
(925) 939-9882
Fax
(925) 939-2813
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 43189 CA Primary

Addresses

Primary practice location

2021 Ygnacio Valley Rd Ste B1
Walnut Creek, CA 94598-3387

Mailing address

2021 Ygnacio Valley Rd Ste B1
Walnut Creek, CA 94598-3387
Phone (925) 939-9882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150526000234 CA Order and Referring Only - DentistPractitioner - Dentist 9931429438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
43189CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven L. Shuff, DDS a Professional Corporation General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396815684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 YGNACIO VALLEY RD STE B1",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983387",
            "telephone_number": "925-939-9882",
            "fax_number": "925-939-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 YGNACIO VALLEY RD STE B1",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983387",
            "telephone_number": "925-939-9882",
            "fax_number": "925-939-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "LILI",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.