Li DDS Dental Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56851 Issued in CA

Legal business name

LI DDS DENTAL INC.

Practice address

3333 S Brea Canyon Rd Ste 121
Diamond Bar, CA 91765-3783

Phone

(909) 869-1098

Fax

(909) 869-7202

NPI assigned

Feb 15, 2016

Organization subpart

No

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

Authorized official

Name

Jingjing Li, D.D.S.

Title

Ceo

Phone

(909) 869-1098

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1679932032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S BREA CANYON RD STE 121",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653783",
            "telephone_number": "909-869-1098",
            "fax_number": "909-869-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S BREA CANYON RD STE 121",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653783",
            "telephone_number": "909-869-1098",
            "fax_number": "909-869-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LI DDS DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "JINGJING",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-869-1098",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56851",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "56851",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "46308",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Leiter-McBeth, PHD
• CHI Lok Leung, PHARMD
• Vikki Hoi-Ki Leung, NP
• Dennis Lew, RPH
• Steven F Lew, PHARMD
• Krystal Jianghuizi Li, DNP
• Lilian Li, DO
• Tom Li
• Yu E Li, LAC
• Yung-Ting Li, MSAOM

• General Practice Dentistry in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.