Yu Li, D.M.D

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

36042 Issued in TX

Practice address

12621 Hero Way W Ste A1
Leander, TX 78641-1016

Phone

(512) 522-8282

Fax

(512) 980-6907

NPI assigned

Jul 20, 2016

Last updated

Sep 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Hero Way Pediatric Dentistry

  • Pediatric Dentistry
  • Leander, TX
  • NPI 1881332450
  NPD Authorized official
• Robert P. Nakaki Dental Corporation

  dba Stadium Dental Group

  • General Practice Dentistry
  • Manteca, CA
  • NPI 1841471299
  NPD (past)

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1528411055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12621 HERO WAY W STE A1",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786411016",
            "telephone_number": "512-522-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12621 HERO WAY W STE A1",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786411016",
            "telephone_number": "512-522-8282",
            "fax_number": "512-980-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "YU",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100495",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "36042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Ledden
• Shatamia M Leonard
• Amanda Lequire, DO
• Adrian Lewis
• Joanne Raquel Li-Pelaez, D.O.
• Caitlin Linderman
• Haylee Lindsey
• Noriah Liong
• Jenna Lipscomb
• Little Sprouts Pediatric Dentistry PLLC

• Pediatric Dentistry in Leander, TX
• Providers in Leander, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.