Individual provider Active NPI

Lien Kim Ho, DMD

  • Dentist
  • Chicago, IL
National Provider Identifier
1902328628
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019031261 Issued in IL
Practice address
3555 N Ashland Ave Ste 1
Chicago, IL 60657-1361
Phone
(312) 392-1929
NPI assigned
Jul 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019031261 IL Primary

Addresses

Primary practice location

3555 N Ashland Ave Ste 1
Chicago, IL 60657-1361

Mailing address

832 W 36TH St Apt 2
Chicago, IL 60609-1574
Phone (708) 752-6154

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
019031261ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Smiles on Ashland Dental Co CurrentSince Apr 24, 2022 Accepting new patients

Locations

3555 N Ashland Ave
Ste 1
Chicago, IL 60657
Phone (312) 392-1929

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1902328628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 W 36TH ST APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606091574",
            "telephone_number": "708-752-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 N ASHLAND AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571361",
            "telephone_number": "312-392-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "LIEN",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019031261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

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

Verify at the official NPI Registry.