Active NPI
Lien Kim Ho, DMD
- Dentist
- Chicago, IL
National Provider Identifier
1902328628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019031261
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 019031261 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiles on Ashland Dental Co | Current | 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.
-
- Dental Clinic/Center
- Chicago, IL
- NPI 1588304919
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.