Active NPI
Liyen Lin Keen, D.D.S.
- General Practice Dentistry
- Sugar Land, TX
National Provider Identifier
1568554301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 20585
- Practice address
- 17320 W Grand Pkwy S
Ste. B
Sugar Land, TX 77479-2666 - Phone
- (832) 595-2505
- Fax
- (832) 595-2290
- NPI assigned
- Sep 29, 2006
- Last updated
- Dec 15, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20585 | TX | Primary |
Addresses
Primary practice location
17320 W Grand Pkwy S
Ste. B
Sugar Land, TX 77479-2666
Mailing address
17320 W Grand Pkwy S Ste B
Sugar Land, TX 77479-2667
Phone (832) 595-2505
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1444952 03 | Medicaid | TX | |
| B205851 | Other | TX | TX CHIP IDENTIFIER NUMBER |
Other names 1
- Dr. Li-Yen Lin
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 |
|---|---|---|---|
| 20585 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Li-Yen Lin DDS PA | Current | Accepting new patients |
Locations
17320 W Grand Pkwy S
Ste B
Sugar Land, TX 77479
Phone (832) 595-2505
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1568554301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17320 W GRAND PKWY S STE B",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774792667",
"telephone_number": "832-595-2505",
"fax_number": "832-595-2290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17320 W GRAND PKWY S",
"address_2": "STE. B",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774792666",
"telephone_number": "832-595-2505",
"fax_number": "832-595-2290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEN",
"first_name": "LIYEN",
"middle_name": "LIN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "20585",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1444952 03",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX CHIP IDENTIFIER NUMBER",
"identifier": "B205851",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LI-YEN",
"last_name": "LIN",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.