Organization Active NPI

Carol Lin DDS, PLLC

Doing business as Lakeview Smiles

  • General Practice Dentistry
  • Kenmore, WA
National Provider Identifier
1235793183
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CAROL LIN DDS, PLLC
Doing business as
Lakeview Smiles
Practice address
5701 NE Bothell Way Ste 5
Kenmore, WA 98028-9400
Phone
(425) 488-1405
NPI assigned
Apr 25, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Carol C Lin, DDS
Title
Owner
Phone
(425) 488-1405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

5701 NE Bothell Way Ste 5
Kenmore, WA 98028-9400

Mailing address

5701 NE Bothell Way Ste 5
Kenmore, WA 98028-9400
Phone (425) 488-1405

Other identifiers 1

IdentifierTypeStateIssuer
DE60675630OtherWAPPO

Other names 1

  • Lakeview Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

5701 NE Bothell Way
Ste 5
Kenmore, WA 98028
Phone (425) 488-1405

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1235793183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 NE BOTHELL WAY STE 5",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980289400",
            "telephone_number": "425-488-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 NE BOTHELL WAY STE 5",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980289400",
            "telephone_number": "425-488-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL LIN DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-488-1405",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO",
            "identifier": "DE60675630",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenmore, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.