Active NPI
Tik-Shun Li, DMD
- General Practice Dentistry
- Seattle, WA
National Provider Identifier
1649591652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DR60093493
- Practice address
- 1959 NE Pacific St
HSB Room D 258
Seattle, WA 98195-0001 - Phone
- (617) 595-0171
- NPI assigned
- Jun 14, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DR60093493 | WA | Primary |
Addresses
Primary practice location
1959 NE Pacific St
HSB Room D 258
Seattle, WA 98195-0001
Mailing address
3222 W. 26TH Ave
Vancouver, BRITISH COLUMBIA V6C1W1
CA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR60093493 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276473600000",
"number": "1649591652",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "3222 W. 26TH AVE",
"city": "VANCOUVER",
"state": "BRITISH COLUMBIA",
"postal_code": "V6C1W1"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"address_2": "HSB ROOM D 258",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981950001",
"telephone_number": "617-595-0171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "TIK-SHUN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-14",
"last_updated": "2010-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DR60093493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.