Organization Active NPI

Ruixiang Li Qin DMD Inc

  • Dental Clinic/Center
  • Oakland, CA
National Provider Identifier
1730694910
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RUIXIANG LI QIN DMD INC
Practice address
933 Jackson St
Oakland, CA 94607-4809
Phone
(510) 839-1986
Fax
(510) 839-1985
NPI assigned
Dec 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
Dr. Ruixiang Li Qin, DMDNPI 1194230375
Title
President
Phone
(510) 688-0086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

933 Jackson St
Oakland, CA 94607-4809

Mailing address

933 Jackson St
Oakland, CA 94607-4809
Phone (510) 839-1986

National Provider Directory

National Provider Directory

Locations

933 Jackson St
Oakland, CA 94607
Phone (510) 763-1999

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1730694910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 JACKSON ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074809",
            "telephone_number": "510-839-1986",
            "fax_number": "510-839-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 JACKSON ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074809",
            "telephone_number": "510-839-1986",
            "fax_number": "510-839-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUIXIANG LI QIN DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-09",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "QIN",
        "authorized_official_first_name": "RUIXIANG",
        "authorized_official_middle_name": "LI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-688-0086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.