Yi Jey Lin, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN22374 Issued in FL

Practice address

4125 Race Track Rd Unit 109
St Johns, FL 32259-2389

Phone

(904) 201-8987

NPI assigned

Feb 9, 2016

Last updated

Jan 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Belle Vie Dental Orthodontics PLLC

  dba Bella Vie Dental & Orthodontics

  • Dentist
  • Saint Johns, FL
  • NPI 1265240956
  NPD

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1215395959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 RACE TRACK RD UNIT 109",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322592389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 RACE TRACK RD UNIT 109",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322592389",
            "telephone_number": "904-201-8987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9861-1 Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322464782",
            "country_code": "US",
            "telephone_number": "904-565-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "YI JEY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "058873",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Jacocks Levine, M.D.
• D'Andra Lewis, RBT
• Rebekah Lieberman, APRN
• Life Symphony Therapy, LLC
• Lighting the Way ABA Therapy
• Brenden Lindsey, RADIOLOGYADMINISTRAT
• Kara Louise Linick, BSN, RN
• Emily Linville, NP-BC
• Nataliia Litvinenko, RBT
• Alyson Lang Long, ARNP

• General Practice Dentistry in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.