Kelly Lien, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

102219 Issued in CA

Practice address

767 N Hill St Ste 200
Los Angeles, CA 90012-2365

Phone

(213) 808-1792

NPI assigned

Jun 8, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FIFJBA
• Direct secure messaging: kelly.lien.p1@direct.cscla.nextgenshare.com

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.

• Chinatown Service Center

  • Case Manager/Care Coordinator
  • Alhambra, CA
  • NPI 1134482326
  NPD (past)

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1043690696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S FIGUEROA ST APT 619",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122514",
            "telephone_number": "732-593-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 N HILL ST STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122365",
            "telephone_number": "213-808-1792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4211 Waialae Ave",
            "address_2": "#111",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968165319",
            "country_code": "US",
            "telephone_number": "808-732-4377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIEN",
        "first_name": "KELLY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Elizabeth Liebrich, FNP
• Ethan Liebross
• Henny A. Liem, PHARM.D.
• Melissa V.S. Liemmertz, RN
• Brian Van Lien
• Tiffany Lien
• Winston Wei Lien, MD
• Gary Lieskovsky, M.D.
• Marie S Lietzke, RN
• Alexander Carleton Lieu, MD

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.