Organization Active NPI

J.Lin Perio LLC

  • Dental Clinic/Center
  • Coppell, TX
National Provider Identifier
1104527175
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
J.LIN PERIO LLC
Practice address
452 TX-121 Unit 150
Coppell, TX 75019
Phone
(469) 453-6168
NPI assigned
Mar 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

Name
Ju Ying Lin, D.D.SNPI 1588894240
Title
Peiodontist
Phone
(469) 657-5298

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

452 TX-121 Unit 150
Coppell, TX 75019

Mailing address

2025 Liverpool Dr. Plano
Plano, TX 75025-2025
Phone (469) 657-5298

National Provider Directory

National Provider Directory

Locations

452 State Highway 121
Unit 150
Coppell, TX 75019
Phone (215) 500-3674

Practitioners & affiliated clinicians

Practitioners 1

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": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1104527175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 LIVERPOOL DR. PLANO",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750252025",
            "telephone_number": "469-657-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 TX-121 UNIT 150",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "75019",
            "telephone_number": "469-453-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.LIN PERIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "JU YING",
        "authorized_official_title_or_position": "PEIODONTIST",
        "authorized_official_telephone_number": "469-657-5298",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.