Active NPI
Tony Ly, DMD
- Dentist
- Salinas, CA
National Provider Identifier
1740959014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 106486
- Practice address
- 2180 N Main St
Salinas, CA 93906-1735 - Phone
- (831) 443-2190
- NPI assigned
- Sep 9, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 106486 | CA | Primary |
Addresses
Primary practice location
2180 N Main St
Salinas, CA 93906-1735
Mailing address
5093 Lindell LN
Santa Ana, CA 92704-1092
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 |
|---|---|---|---|
| 106486 | CA | MD | Dentist |
Interoperability endpoints
- tony.ly.p1@direct.csvs.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1740959014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5093 LINDELL LN",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927041092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 N MAIN ST",
"city": "SALINAS",
"state": "CA",
"postal_code": "939061735",
"telephone_number": "831-443-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "TONY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-09",
"last_updated": "2021-09-09",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "106486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.