Active NPI
Kevin Lin
- Dentist
- Reno, NV
National Provider Identifier
1144707282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7067
- Practice address
- 5150 Mae Anne Ave Ste 810a
Reno, NV 89523-1881 - Phone
- (775) 747-0680
- NPI assigned
- Jul 21, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 7067 | NV | Primary |
Addresses
Primary practice location
5150 Mae Anne Ave Ste 810a
Reno, NV 89523-1881
Mailing address
5150 Mae Anne Ave Ste 810a
Reno, NV 89523-1881
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 |
|---|---|---|---|
| 7067 | NV | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Reno Smiles Dental Group | Past | Accepting new patients | |
| Shahrestani Northwest Reno Smiles Dental Group, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Reno, NV
- NPI 1669840468
-
- General Practice Dentistry
- Reno, NV
- NPI 1801218151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532131200000",
"number": "1144707282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 MAE ANNE AVE STE 810A",
"city": "RENO",
"state": "NV",
"postal_code": "895231881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5150 MAE ANNE AVE STE 810A",
"city": "RENO",
"state": "NV",
"postal_code": "895231881",
"telephone_number": "775-747-0680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "KEVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-21",
"last_updated": "2018-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "7067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.