Active NPI
Shih Yu Lin
- Dentist
- Weymouth, MA
National Provider Identifier
1255047817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN10000067
- Practice address
- 130 Broad St
Weymouth, MA 02188-2337 - Phone
- (909) 348-4157
- NPI assigned
- Jan 26, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 109323 | CA | |
| Dentist | 122300000X | DN10000067 | MA | Primary |
Addresses
Primary practice location
130 Broad St
Weymouth, MA 02188-2337
Mailing address
600 Judah St Apt 1
San Francisco, CA 94122-2266
Phone (909) 348-4157
Other practice location 1
1372 Hancock St Ste 101
Quincy, MA 02169-5100
Phone (617) 472-3939
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 |
|---|---|---|---|
| 109323 | CA | MD | Marriage & Family Therapist |
| DN10000067 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1255047817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 JUDAH ST APT 1",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941222266",
"telephone_number": "909-348-4157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 BROAD ST",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021882337",
"telephone_number": "909-348-4157"
}
],
"practiceLocations": [
{
"address_1": "1372 Hancock St Ste 101",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "MA",
"postal_code": "021695100",
"country_code": "US",
"telephone_number": "617-472-3939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIN",
"first_name": "SHIH YU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-26",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "109323",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN10000067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.