Organization Active NPI

Li&Wen Dental Corporation

  • Dentist
  • Monrovia, CA
National Provider Identifier
1942667217
Registry record updated Jan 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47934 Issued in CA
Legal business name
LI&WEN DENTAL CORPORATION
Practice address
945 W Duarte Rd
Monrovia, CA 91016-4306
Phone
(626) 445-2178
Fax
(626) 425-9518
NPI assigned
Jan 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2016

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

Authorized official

Name
Ivy Xinwei Li, DDSNPI 1124183140
Title
Dentist
Phone
(626) 445-2178

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 47934 CA Primary

Addresses

Primary practice location

945 W Duarte Rd
Monrovia, CA 91016-4306

Mailing address

945 W Duarte Rd
Monrovia, CA 91016-4306
Phone (626) 445-2178

National Provider Directory

National Provider Directory

Locations

945 W Duarte Rd
Monrovia, CA 91016
Phone (626) 501-3773

Practitioners & affiliated clinicians

Practitioners 1

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": "1453075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453075200000",
    "number": "1942667217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 W DUARTE RD",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910164306",
            "telephone_number": "626-445-2178",
            "fax_number": "626-425-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 W DUARTE RD",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910164306",
            "telephone_number": "626-445-2178",
            "fax_number": "626-425-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LI&WEN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-18",
        "last_updated": "2016-01-18",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "IVY",
        "authorized_official_middle_name": "XINWEI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-445-2178",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.