Individual provider Active NPI

Lien Bich Hoang, DDS

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1699805028
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44696 Issued in CA
Practice address
3161 Senter Rd
Suite G
San Jose, CA 95111-1300
Phone
(408) 622-5677
Fax
(408) 622-5687
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 44696 CA Primary

Addresses

Primary practice location

3161 Senter Rd
Suite G
San Jose, CA 95111-1300

Mailing address

2712 Gilham Way
San Jose, CA 95148-2524
Phone (408) 622-5677

Other identifiers 1

IdentifierTypeStateIssuer
44696MedicaidCA

Other names 1

  • Lien Bich Hoang Professional name

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
44696CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1699805028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 GILHAM WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482524",
            "telephone_number": "408-622-5677",
            "fax_number": "408-622-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 SENTER RD",
            "address_2": "SUITE G",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111300",
            "telephone_number": "408-622-5677",
            "fax_number": "408-622-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "LIEN",
        "middle_name": "BICH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44696",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIEN",
            "last_name": "HOANG",
            "middle_name": "BICH",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.