NPIMap

Organization Active NPI

Southland Dental

  • General Practice Dentistry
  • Anaheim, CA
National Provider Identifier
1003082389
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35140 Issued in CA
Legal business name
SOUTHLAND DENTAL
Practice address
10600 Katella Ave
Anaheim, CA 92804-6607
Phone
(714) 758-7777
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Dr. James Lin, DMDNPI 1962529479
Title
DMD
Phone
(714) 758-7777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 35140 CA Primary

Addresses

Primary practice location

10600 Katella Ave
Anaheim, CA 92804-6607

Mailing address

10600 Katella Ave
Anaheim, CA 92804-6607
Phone (714) 758-7777

National Provider Directory

National Provider Directory

Locations

10600 Katella Ave
Anaheim, CA 92804
Phone (714) 758-7777

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1003082389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 KATELLA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046607",
            "telephone_number": "714-758-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 KATELLA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046607",
            "telephone_number": "714-758-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "714-758-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.