Active NPI
Zhengdao Li, DDS
- General Practice Dentistry
- Elmhurst, NY
National Provider Identifier
1790694339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 065792
- Practice address
- 9123 Corona Ave Unit S2
Elmhurst, NY 11373-5029 - Phone
- (917) 365-8778
- NPI assigned
- Sep 1, 2026
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 065792 | NY | Primary |
Addresses
Primary practice location
9123 Corona Ave Unit S2
Elmhurst, NY 11373-5029
Mailing address
9115 Lamont Ave Apt 4G
Elmhurst, NY 11373-2775
Phone (917) 365-8778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1790694339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9115 LAMONT AVE APT 4G",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113732775",
"telephone_number": "917-365-8778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9123 CORONA AVE UNIT S2",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113735029",
"telephone_number": "917-365-8778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "ZHENGDAO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "065792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.