Individual provider Active NPI

Yijia Li, DMD

  • General Practice Dentistry
  • Leominster, MA
National Provider Identifier
1649822297
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1858405 Issued in MA
Practice address
285 Central St Ste 210
Leominster, MA 01453-6144
Phone
(978) 704-8788
NPI assigned
Jul 14, 2019
Last updated
Aug 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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 DN1858405 MA Primary

Addresses

Primary practice location

285 Central St Ste 210
Leominster, MA 01453-6144

Mailing address

285 Central St Ste 210
Leominster, MA 01453-6144
Phone (978) 798-1588

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

LicenseStateTypeSpecialty
DN1858405MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nirvana Dental, P.C. CurrentSince Jan 31, 2021 Accepting new patients
A & S Dental Wellness Center of Lowell, P. C. Current Accepting new patients

Locations

285 Central St
Ste 210
Leominster, MA 01453
Phone (978) 704-8788

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1563062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1649822297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 CENTRAL ST STE 210",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014536144",
            "telephone_number": "978-798-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 CENTRAL ST STE 210",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014536144",
            "telephone_number": "978-704-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "YIJIA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-14",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1858405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.