Kehan Li, D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47279 Issued in CA

Legal business name

KEHAN LI, D.D.S., INC.

Practice address

415 N San Mateo Dr Ste 1
San Mateo, CA 94401-2494

Phone

(650) 401-8686

Fax

(650) 350-3209

NPI assigned

Nov 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kehan Li, D.D.S.NPI 1215002969

Title

Dentist

Phone

(650) 922-7130

Specialties & licenses 1

Addresses

Other names 1

• Mid-Peninsula Dental Care Doing business as

Locations

Practitioners 1

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

• Kehan Li, DDS

  • Dentist
  • San Mateo, CA
  • NPI 1215002969
  NPD (past) Authorized official

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1760719801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N SAN MATEO DR STE 1",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012494",
            "telephone_number": "650-401-8686",
            "fax_number": "650-350-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N SAN MATEO DR STE 1",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012494",
            "telephone_number": "650-401-8686",
            "fax_number": "650-350-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEHAN LI, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "KEHAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "650-922-7130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid-Peninsula Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tatiyana Kazlova
• Patricia Lee Kearney
• Lisa Kearns
• Elizabeth Abbott Keefer
• Suzanne Heidi Keenan, APRN
• Rucha Kelkar, DPT
• Kirsten Kell, MFT
• Anni Kelley-Day, LPCC
• Cenaan Kelley
• Camille Evelyn Kellstedt

• General Practice Dentistry in San Mateo, CA
• Providers in San Mateo, 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 Nov 11, 2009; 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.