KELLY LIEN D.D.S.
NPI 1043690696
Dentist - General Practice in Los Angeles, CA

Active since June 08, 2015PECOS Enrolled
767 N HILL ST STE 200, LOS ANGELES, CA 90012(213) 808-1792 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Mar 3, 2018, Sep 15, 2016 (3 updates tracked since 2016).

About Kelly Lien D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY LIEN D.D.S. (NPI 1043690696) is an individual general practice provider in Los Angeles, California, licensed in California (102219) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Honolulu.

NPPES Registry Identity

NPI1043690696
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameKELLY LIENCredential: D.D.S.
Location Address767 N HILL ST STE 200Los Angeles, CA 90012-2365
Mailing Address222 S Figueroa St Apt 619Los Angeles, CA 90012-2514 · (732) 593-9066
Sole ProprietorNo
Enumeration DateJune 8, 2015
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
NPI 1043690696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 102219
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
767 N HILL ST STE 200, Los Angeles, CA 90012

Secondary Practice Location 1

Location 14211 Waialae Ave, #111Honolulu, HI 96816-5319 · Phone (808) 732-4377

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Lien D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
767 N HILL ST STE 200
LOS ANGELES, CA 90012
Family Medicine
767 N HILL ST STE 200
LOS ANGELES, CA 90012
Nurse Practitioner (Family)
767 N HILL ST STE 200
LOS ANGELES, CA 90012
Physician Assistant
767 N HILL ST STE 200
LOS ANGELES, CA 90012
Clinic/Center (Federally Qualified Health Center (FQHC))
767 N HILL ST STE 200
LOS ANGELES, CA 90012
Optometrist
767 N HILL ST STE 200
LOS ANGELES, CA 90012
Physician Assistant
767 N HILL ST STE 200
LOS ANGELES, CA 90012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Lien's NPI number?

The NPI number for Kelly Lien is 1043690696. It was assigned to this individual provider in the NPPES registry on June 8, 2015.

Where is Kelly Lien located?

Kelly Lien practices at 767 N Hill St Ste 200, Los Angeles, CA 90012. The listed phone number is (213) 808-1792.

What is Kelly Lien's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kelly Lien enrolled in Medicare?

Yes. Kelly Lien is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Lien accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Kelly Lien as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Lien was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.