Active NPI
Jessica Li
- Dentist
- Eugene, OR
National Provider Identifier
1912817214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D12405
- Practice address
- 2457 Oakmont Way
Eugene, OR 97401-6460 - Phone
- (541) 484-2046
- NPI assigned
- Sep 9, 2026
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D12405 | OR | Primary |
Addresses
Primary practice location
2457 Oakmont Way
Eugene, OR 97401-6460
Mailing address
3421 Concomly Rd S
Salem, OR 97306-9721
Phone (971) 599-0579
Other practice location 1
1640 G St
Springfield, OR 97477-4226
Phone (541) 484-2046
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": "1788912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1912817214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCOMLY RD S",
"city": "SALEM",
"state": "OR",
"postal_code": "973069721",
"telephone_number": "971-599-0579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2457 OAKMONT WAY",
"city": "EUGENE",
"state": "OR",
"postal_code": "974016460",
"telephone_number": "541-484-2046"
}
],
"practiceLocations": [
{
"address_1": "1640 G St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OR",
"postal_code": "974774226",
"country_code": "US",
"telephone_number": "541-484-2046",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LI",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D12405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.