Fangming Li, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

106267 Issued in CA

Practice address

3101 Zinfandel Dr Ste 120
Rancho Cordova, CA 95670-6396

Phone

(215) 439-3633

NPI assigned

May 18, 2021

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Reeves, D.D.S. and Lavalley, D.D.S., a Dental Corporation

  dba Kids Care Dental & Orthodontics - Sacramento

  • Pediatric Dentistry
  • Sacramento, CA
  • NPI 1740628528

  Orthodontics and Dentofacial Orthopedics

  NPD (past)

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1598339244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 DATA DR APT 1414",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706447",
            "telephone_number": "215-439-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 ZINFANDEL DR STE 120",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706396",
            "telephone_number": "215-439-3633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Fairway Dr Ste 8",
            "address_purpose": "LOCATION",
            "city": "Rocklin",
            "state": "CA",
            "postal_code": "956774245",
            "country_code": "US",
            "telephone_number": "916-783-5239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 Corporate Way # 200",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958313875",
            "country_code": "US",
            "telephone_number": "916-391-2101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "FANGMING",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-18",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "37097",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "106267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anisa Levels
• Chloe Marcia Levin, FNP-BC
• Willow Lewis-Clark
• Stephanie Lewis
• June Hisako Lgoshi, RN
• Michael Zhihua Li, M.D.
• Lifeline Medical Transportation
• Liliya Golas MD Inc
• David Lim, PHARMD, BS
• Albert B Lin, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.