Tien DO, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1857940 Issued in MA

Practice address

101 Main St Ste 206
Medford, MA 02155-4530

Phone

(781) 395-5545

NPI assigned

Jun 10, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tdo182272@direct.bmc.masshiway.net
• Direct secure messaging: tdo294010@direct.ochin.org

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.

• Medford Main Street Dental P.C.

  • Dentist
  • Medford, MA
  • NPI 1124894894
  NPD Authorized official
• Medford Armory Dental P.C.

  • Dental Clinic/Center
  • Medford, MA
  • NPI 1811673361
  NPD (past) Authorized official
• Boston Medical Center Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1346218294
  NPD

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

{
    "created_epoch": "1528588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1801389374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HARRISON AVE UNIT 410",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182740",
            "telephone_number": "917-455-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAIN ST STE 206",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554530",
            "telephone_number": "781-395-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "TIEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-10",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Leach Dias, RD, LDN
• Allison M Dibiaso, LICSW
• Connie Diep, PMHNP
• Natalie Diesz
• Diane Joan Dmytryk, LICSW
• Ana Dolan
• Jonathan Joseph Donahue, LMHC
• Xiaotianyi Dong
• Claire Frances Donnelly, A.T.R., L.M.H.C.
• Erin Brooke Donnelly, PT, DPT, ATC

• Dentist in Medford, MA
• Providers in Medford, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.