Active NPI
Laurel Kathleen Lin, RDH
- Dental Hygienist
- Boston, MA
National Provider Identifier
1154658581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH87056
- Practice address
- 359 Boylston St
Suite 6
Boston, MA 02116-3304 - Phone
- (617) 262-1422
- NPI assigned
- Nov 5, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH87056 | MA | Primary |
| Dental Hygienist | 124Q00000X | DH009897 | GA | |
| Dental Hygienist | 124Q00000X | 5274 | AZ |
Addresses
Primary practice location
359 Boylston St
Suite 6
Boston, MA 02116-3304
Mailing address
359 Boylston St
Suite 6
Boston, MA 02116-3304
Phone (617) 262-1422
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 |
|---|---|---|---|
| 5274 | AZ | MD | Dentist |
| DH009897 | GA | MD | Dental Hygienist |
| DH87056 | MA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| V.Mourmoutis DMD PC | Past | Accepting new patients | |
| Dr. J. Andres Rodriguez DMD 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.
-
- Dentist
- Boston, MA
- NPI 1821179201
-
- General Practice Dentistry
- Boston, MA
- NPI 1598193146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257379200000",
"number": "1154658581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "359 BOYLSTON ST",
"address_2": "SUITE 6",
"city": "BOSTON",
"state": "MA",
"postal_code": "021163304",
"telephone_number": "617-262-1422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "359 BOYLSTON ST",
"address_2": "SUITE 6",
"city": "BOSTON",
"state": "MA",
"postal_code": "021163304",
"telephone_number": "617-262-1422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "LAUREL",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-05",
"last_updated": "2009-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MA",
"license": "DH87056",
"primary": true
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "GA",
"license": "DH009897",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "AZ",
"license": "5274",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.