Individual provider Active NPI

Nova Dannuo Li, DDS

  • General Practice Dentistry
  • Irvine, CA
National Provider Identifier
1760960256
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
102902 Issued in CA
Practice address
113 Waterworks Way Ste 335
Irvine, CA 92618-3173
Phone
(949) 889-0006
NPI assigned
Aug 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
102902CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dannuo Li DDS Inc CurrentSince May 19, 2024 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.