Active NPI
Linda Lien, DT, RDH
- Dental Therapist
- Minneapolis, MN
National Provider Identifier
1063193175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Therapist
- License
- DT154
- Practice address
- 2232 Hennepin Ave
Minneapolis, MN 55405-2737 - Phone
- (612) 377-6108
- NPI assigned
- Jul 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Therapist | 125J00000X | DT154 | MN | Primary |
| Dental Hygienist | 124Q00000X | DH11190 | MN |
Addresses
Primary practice location
2232 Hennepin Ave
Minneapolis, MN 55405-2737
Mailing address
9321 W 126TH St
Savage, MN 55378-1183
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
| License | State | Type | Specialty |
|---|---|---|---|
| DH11190 | MN | MD | Dental Hygienist |
| DT154 | MN | MD | Dental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1063193175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9321 W 126TH ST",
"city": "SAVAGE",
"state": "MN",
"postal_code": "553781183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2232 HENNEPIN AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554052737",
"telephone_number": "612-377-6108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEN",
"first_name": "LINDA",
"credential": "DT, RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-31",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "125J00000X",
"taxonomy_group": "",
"desc": "Dental Therapist",
"state": "MN",
"license": "DT154",
"primary": true
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MN",
"license": "DH11190",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.