Active NPI
Gregory Lin, DDS
- General Practice Dentistry
- Oakland, CA
National Provider Identifier
1336768613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS106633
- Practice address
- 6201 Antioch St Ste 102
Oakland, CA 94611-2945 - Phone
- (510) 390-8833
- NPI assigned
- Apr 15, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | DDS106633 | CA | Primary |
Addresses
Primary practice location
6201 Antioch St Ste 102
Oakland, CA 94611-2945
Mailing address
5 Egret CT
Alameda, CA 94501-6438
Phone (510) 688-0674
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 |
|---|---|---|---|
| DDS106633 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Barbara Neighborhood Clinics | Past | Accepting new patients | |
| Dorothy Chao, DDS Inc. | General Practice | Past | Accepting new patients |
| Santa Barbara Neighborhood Clinics | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Stanton, CA
- NPI 1942492442
-
- Federally Qualified Health Center (FQHC)
- Santa Barbara, CA
- NPI 1063438232
-
- Dental Clinic/Center
- Santa Barbara, CA
- NPI 1972636835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1336768613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 EGRET CT",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945016438",
"telephone_number": "510-688-0674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 ANTIOCH ST STE 102",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946112945",
"telephone_number": "510-390-8833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-15",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DDS106633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.