Individual provider Active NPI

Laurel Kathleen Lin, RDH

  • Dental Hygienist
  • Boston, MA
National Provider Identifier
1154658581
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH87056 Issued in MA
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

Updated by the provider on Nov 5, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
5274AZMDDentist
DH009897GAMDDental Hygienist
DH87056MAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.