Active NPI
Lin Qiu, DMD
- General Practice Dentistry
- Havertown, PA
National Provider Identifier
1316175227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS030995L
- Practice address
- 2010 W Chester PK
Suite 420
Havertown, PA 19083 - Phone
- (610) 449-8511
- Fax
- (610) 449-8639
- NPI assigned
- Jun 30, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS030995L | PA | Primary |
Addresses
Primary practice location
2010 W Chester PK
Suite 420
Havertown, PA 19083
Mailing address
2010 W Chester Pike
Ste 420
Havertown, PA 19083-2700
Phone (610) 449-8511
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 |
|---|---|---|---|
| DS030995L | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246320000000",
"number": "1316175227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 W CHESTER PIKE",
"address_2": "STE 420",
"city": "HAVERTOWN",
"state": "PA",
"postal_code": "190832700",
"telephone_number": "610-449-8511",
"fax_number": "610-449-8639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 W CHESTER PK",
"address_2": "SUITE 420",
"city": "HAVERTOWN",
"state": "PA",
"postal_code": "19083",
"telephone_number": "610-449-8511",
"fax_number": "610-449-8639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QIU",
"first_name": "LIN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-30",
"last_updated": "2009-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS030995L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Havertown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.