OrthodontistIndex

David Li

Orthodontist in San Jose, CA

Registered providerLicense # listed (CA)

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Public-record details

Address
5150 Graves Ave Ste 12g, San Jose, CA 95129
Phone
(408) 255-8545
Listed under
Individual orthodontists
NPI
1104379718
NPI status
Active in the NPPES registry
Provider type
Individual provider
Registered specialty (self-reported taxonomy)
Orthodontics and Dentofacial Orthopedics (1223X0400X)
License number on NPI record
103082 (CA)
NPI first issued
Jul 31, 2016
NPI record last updated
Aug 27, 2024

NPI 1104379718 is active in the federal NPPES registry (CMS) with Orthodontics and Dentofacial Orthopedics, an ADA-recognized dental specialty, as its self-reported primary taxonomy; license 103082 (CA) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-11-12.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Orthodontists are dentists who completed an accredited orthodontic residency after dental school. General dentists can also offer braces or aligners, but they are not listed here.

View NPI 1104379718 in the official registry ↗

Checking credentials: the specialty shown is the one this provider registered with the NPI system. Your state dental board's license lookup confirms the license, and the American Board of Orthodontics lists board-certified orthodontists.

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