Individual provider Active NPI

Min-Yin Li, DDS, MS

  • Periodontics
  • Denton, TX
National Provider Identifier
1952854218
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
36976 Issued in TX
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

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
36976TXMDPeriodontist

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

Verify at the official NPI Registry.