Individual provider Active NPI

Lien Perez Garcia, DMD

  • General Practice Dentistry
  • Doral, FL
National Provider Identifier
1003440512
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN26829 Issued in FL
Practice address
2000 NW 87TH Ave Ste 215
Doral, FL 33172-2657
Phone
(786) 953-6550
NPI assigned
Feb 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X DN26829 FL
Dentist 122300000X DN26829 FL
Student in an Organized Health Care Education/Training Program 390200000X DRPM2123 FL
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN26829 FL Primary

Addresses

Primary practice location

2000 NW 87TH Ave Ste 215
Doral, FL 33172-2657

Mailing address

676 SE 8TH St
Hialeah, FL 33010-5607
Phone (305) 490-1023

Other practice location 1

750 E 25th St
Hialeah, FL 33013-3817
Phone (305) 694-5400

Other practice location 2

7900 NW 27th Ave Ste 275
Miami, FL 33147-4909
Phone (305) 693-7988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN26829FLMDGeneral Practice Dentistry
DRPM2123FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Associates, Inc General Practice PastSince Mar 1, 2020 Accepting new patients
Professional Dental Solutions, Inc Dentist PastSince Jun 12, 2018 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1003440512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 SE 8TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105607",
            "telephone_number": "305-490-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NW 87TH AVE STE 215",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722657",
            "telephone_number": "786-953-6550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 E 25th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330133817",
            "country_code": "US",
            "telephone_number": "305-694-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7900 NW 27th Ave Ste 275",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331474909",
            "country_code": "US",
            "telephone_number": "305-693-7988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ GARCIA",
        "first_name": "LIEN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "DN26829",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN26829",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "DRPM2123",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN26829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.