Organization Active NPI

Li LLG Dental Corporation

Doing business as Ivy Institute

  • Endodontics
  • Arcadia, CA
National Provider Identifier
1871850818
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
LI LLG DENTAL CORPORATION
Doing business as
Ivy Institute
Practice address
301 W Huntington Dr
Ste. 520
Arcadia, CA 91007-3462
Phone
(626) 445-8530
Fax
(626) 445-8540
NPI assigned
Apr 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
Dr. David Z Li, D.M.D.NPI 1912127101
Title
Owner
Phone
(626) 445-8530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

301 W Huntington Dr
Ste. 520
Arcadia, CA 91007-3462

Mailing address

301 W Huntington Dr
Ste. 520
Arcadia, CA 91007-3462
Phone (626) 445-8530

Other names 1

  • Ivy Institute Doing business as

National Provider Directory

National Provider Directory

Locations

301 W Huntington Dr
Ste 520
Arcadia, CA 91007
Phone (626) 445-8530

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1871850818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W HUNTINGTON DR",
            "address_2": "STE. 520",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073462",
            "telephone_number": "626-445-8530",
            "fax_number": "626-445-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W HUNTINGTON DR",
            "address_2": "STE. 520",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073462",
            "telephone_number": "626-445-8530",
            "fax_number": "626-445-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LI LLG DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-445-8530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivy Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.