DR. MIKE LI D.D.S.
NPI 1124205455
Dentist in San Francisco, CA

Q: What is Mike Li's NPI number?

The NPI number for Mike Li is 1124205455. It was assigned to this individual provider in the NPPES registry on January 29, 2008.

Q: What is Mike Li's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Mike Li was last updated on August 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 29, 2008PECOS Enrolled

1108 VICENTE ST STE 104, SAN FRANCISCO, CA 94116(415) 753-6161(415) 753-0208 Get Directions Write a Review

NPPES record last updated: August 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Mike Li D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MIKE LI D.D.S. (NPI 1124205455) is an individual dentist in San Francisco, California, licensed in California (52636) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124205455

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. MIKE LICredential: D.D.S.

Location Address1108 VICENTE ST STE 104San Francisco, CA 94116-3042

Mailing Address1108 Vicente St Ste 104San Francisco, CA 94116-3042 · (415) 753-6161 · Fax (415) 753-0208

Phone(415) 753-6161

Fax(415) 753-0208

Sole ProprietorNo

Enumeration DateJanuary 29, 2008

Last NPPES UpdateAugust 27, 2008

✔ NPI 1124205455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 52636

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1108 VICENTE ST STE 104, San Francisco, CA 94116

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Other Identifiers 1

Other2023547CA · United Concordia

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mike Li D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mike Li's NPI number?

The NPI number for Mike Li is 1124205455. It was assigned to this individual provider in the NPPES registry on January 29, 2008.

Where is Mike Li located?

Mike Li practices at 1108 Vicente St Ste 104, San Francisco, CA 94116. The listed phone number is (415) 753-6161.

What is Mike Li's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mike Li enrolled in Medicare?

Yes. Mike Li is registered in the Medicare PECOS enrollment system.

What insurance does Mike Li accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Mike Li as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mike Li was last updated on August 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.