Individual provider Active NPI

Jin Lin, D.M.D

  • Pediatric Dentistry
  • Hurst, TX
National Provider Identifier
1184030793
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
33436 Issued in TX
Practice address
712 W Pipeline Rd Ste 600
Hurst, TX 76053-4928
Phone
(817) 510-6400
NPI assigned
Jul 2, 2014
Last updated
Sep 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 33436 TX Primary

Addresses

Primary practice location

712 W Pipeline Rd Ste 600
Hurst, TX 76053-4928

Mailing address

7020 Benjamin Way
Colleyville, TX 76034-1129

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
33436TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jin Lin Dentistry PLLC Pediatric Dentistry CurrentSince Aug 9, 2020 Accepting new patients
Preece Dentistry PLLC Pediatric Dentistry Past Accepting new patients

Locations

712 W Pipeline Rd
Ste 600
Hurst, TX 76053
Phone (817) 510-6400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1184030793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7020 BENJAMIN WAY",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760341129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 W PIPELINE RD STE 600",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534928",
            "telephone_number": "817-510-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "JIN",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "33436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.