Active NPI
Lin Zhu, D.D.S.
- Periodontics
- Oregon City, OR
National Provider Identifier
1073809117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 10373
- Practice address
- 1677 Molalla Ave
Oregon City, OR 97045-4007 - Phone
- (503) 650-2612
- NPI assigned
- Jun 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 10373 | OR | Primary |
Addresses
Primary practice location
1677 Molalla Ave
Oregon City, OR 97045-4007
Mailing address
1200 S Air Depot Blvd
Midwest City, OK 73110-4866
Phone (310) 622-5305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170111000536 | OR | Order and Referring Only - Dentist | 9537440243 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10373 | OR | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1073809117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 S AIR DEPOT BLVD",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731104866",
"telephone_number": "310-622-5305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1677 MOLALLA AVE",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970454007",
"telephone_number": "503-650-2612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHU",
"first_name": "LIN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-28",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "OR",
"license": "10373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.