Individual provider Active NPI

Niven T Tien, DDS,MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Washington, DC
National Provider Identifier
1720154495
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DEN1001223 Issued in DC
Practice address
4301 50TH St NW Ste 200
Washington, DC 20016-4396
Phone
(202) 360-4032
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 14962 MD
Plastic and Reconstructive Surgery Physician 2086S0122X MD044528 DC
Plastic and Reconstructive Surgery Physician 2086S0122X D0075315 MD
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DEN1001223 DC Primary

Addresses

Primary practice location

4301 50TH St NW Ste 200
Washington, DC 20016-4396

Mailing address

14955 Shady Grove Road
Suite 330
North Bethesda, MD 20850-8720
Phone (301) 340-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20150804004491 CA Order and Referring Only - DentistPractitioner - Dentist 4486968427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14962MDMDSocial Worker
DEN1001223DCMDOral and Maxillofacial Surgery (Dentist)
MD044528DCMDPlastic and Reconstructive Surgery Physician
D0075315MDMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
D.C. Surgical Arts Center for Oral and Facial Cosmetic Surgery LLC Oral and Maxillofacial Surgery PastSince Nov 17, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1720154495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14955 SHADY GROVE ROAD",
            "address_2": "SUITE 330",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208508720",
            "telephone_number": "301-340-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 50TH ST NW STE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164396",
            "telephone_number": "202-360-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEN",
        "first_name": "NIVEN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS,MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MD",
            "license": "14962",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "DC",
            "license": "MD044528",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MD",
            "license": "D0075315",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DC",
            "license": "DEN1001223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.