NPIMap

Organization Active NPI

N.D. Lien, P.C.

  • General Practice Physician
  • Tucker, GA
National Provider Identifier
1679614465
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
036656 Issued in GA
Legal business name
N.D. LIEN, P.C.
Practice address
4865 Lavista Rd
Tucker, GA 30084-4436
Phone
(770) 270-0290
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lien D. NguyenNPI 1962443168
Title
President
Phone
(770) 270-0290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 036656 GA Primary

Addresses

Primary practice location

4865 Lavista Rd
Tucker, GA 30084-4436

Mailing address

PO Box 29528
Atlanta, GA 30359-0528

Other identifiers 2

IdentifierTypeStateIssuer
00614116CMedicaidGA
1154358760OtherGADICH VAN NGUYEN, MD

Other names 1

  • LAVISTA PRIMARY CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lavista Primary Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4865 Lavista Rd
Tucker, GA 30084
Phone (770) 270-0290

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679614465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29528",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303590528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4865 LAVISTA RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844436",
            "telephone_number": "770-270-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N.D. LIEN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LIEN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-270-0290"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "036656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00614116C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DICH VAN NGUYEN, MD",
            "identifier": "1154358760",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAVISTA PRIMARY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.