Individual provider Active NPI

Eric Lin, D.D.S

  • Dentist
  • Lawndale, CA
National Provider Identifier
1326228107
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
56553 Issued in CA
Practice address
4161 Redondo Beach Blvd
Suite #200
Lawndale, CA 90260-3306
Phone
(310) 371-6513
Fax
(310) 371-6732
NPI assigned
Nov 8, 2007
Last updated
Mar 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 56553 CA Primary

Addresses

Primary practice location

4161 Redondo Beach Blvd
Suite #200
Lawndale, CA 90260-3306

Mailing address

4161 Redondo Beach Blvd
Suite #200
Lawndale, CA 90260-3306
Phone (310) 371-6513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190930003243 CA Practitioner - Oral Surgery 5890025191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1326228107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 REDONDO BEACH BLVD",
            "address_2": "SUITE #200",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902603306",
            "telephone_number": "310-371-6513",
            "fax_number": "310-371-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 REDONDO BEACH BLVD",
            "address_2": "SUITE #200",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902603306",
            "telephone_number": "310-371-6513",
            "fax_number": "310-371-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawndale, CA

Sources for this page

Verify at the official NPI Registry.