Active NPI
Nova Dannuo Li, DDS
- General Practice Dentistry
- Irvine, CA
National Provider Identifier
1760960256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 102902
- Practice address
- 113 Waterworks Way Ste 335
Irvine, CA 92618-3173 - Phone
- (949) 889-0006
- NPI assigned
- Aug 6, 2018
- Last updated
- May 13, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 102902 | CA | Primary |
Addresses
Primary practice location
113 Waterworks Way Ste 335
Irvine, CA 92618-3173
Mailing address
2401 S Hacienda Blvd Apt 78
Hacienda Heights, CA 91745-4718
Phone (626) 554-5748
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 |
|---|---|---|---|
| 102902 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dannuo Li DDS Inc | Current | Accepting new patients |
Locations
113 Waterworks Way
Ste 335
Irvine, CA 92618
Phone (949) 889-0006
Organizations & group practices 1
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": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1760960256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 S HACIENDA BLVD APT 78",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917454718",
"telephone_number": "626-554-5748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 WATERWORKS WAY STE 335",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183173",
"telephone_number": "949-889-0006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "NOVA",
"middle_name": "DANNUO",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-06",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "102902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.