Active NPI
Min-Yin Li, DDS, MS
- Periodontics
- Denton, TX
National Provider Identifier
1952854218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 36976
- Practice address
- 1601 N Elm St
Denton, TX 76201-3026 - Phone
- (940) 566-7021
- NPI assigned
- Aug 3, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 36976 | TX | Primary |
Addresses
Primary practice location
1601 N Elm St
Denton, TX 76201-3026
Mailing address
3043 Old Denton Rd
Carrollton, TX 75007-5003
Phone (972) 323-5108
Other practice location 1
100 Country Club Rd Ste 104
Argyle, TX 76226-2358
Phone (940) 556-7021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 20, 2020 through Apr 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36976 | TX | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1952854218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3043 OLD DENTON RD",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750075003",
"telephone_number": "972-323-5108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 N ELM ST",
"city": "DENTON",
"state": "TX",
"postal_code": "762013026",
"telephone_number": "940-566-7021"
}
],
"practiceLocations": [
{
"address_1": "100 Country Club Rd Ste 104",
"address_purpose": "LOCATION",
"city": "Argyle",
"state": "TX",
"postal_code": "762262358",
"country_code": "US",
"telephone_number": "940-556-7021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LI",
"first_name": "MIN-YIN",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-03",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "36976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.