Jean Li

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DEN1001320 Issued in DC

Practice address

1212 New York Ave NW Ste 430
Washington, DC 20005-3987

Phone

(202) 735-0719

NPI assigned

Aug 24, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dlight Dental PLLC

  • Dental Clinic/Center
  • Washington, DC
  • NPI 1396578472
  NPD Authorized official
• Dlight Dental

  • Periodontics
  • Rockville, MD
  • NPI 1235594649
  NPD Authorized official
• Specialty Dentistry at Gaithersburg

  • Periodontics
  • Gaithersburg, MD
  • NPI 1922826676
  NPD

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1992085724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8724 SNOWHILL CT",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544411",
            "telephone_number": "617-840-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 NEW YORK AVE NW STE 430",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053987",
            "telephone_number": "202-735-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "JEAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901029333",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "15543",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "DC",
            "license": "DEN1001320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Li, MD
• Howard Jiahau Li, MD
• Jane Shadwell Li, MD
• Jasmine Li
• Jason Li
• Jenny Li
• Jessica Li
• Karen Li
• Qi Qi Li, HHA
• Rusong Li, L.AC.

• Periodontics in Washington, DC
• Providers in Washington, DC by specialty
• Periodontics in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.