Active NPI
Benjamin Lin, DMD
- Dentist
- Rocklin, CA
National Provider Identifier
1336893833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 108945
- Practice address
- 5182 Commons Dr
Rocklin, CA 95677-3911 - Phone
- (916) 660-9487
- NPI assigned
- Feb 4, 2022
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 108945 | CA | Primary |
Addresses
Primary practice location
5182 Commons Dr
Rocklin, CA 95677-3911
Mailing address
5182 Commons Dr Unit 101
Rocklin, CA 95677-3911
Phone (248) 421-1858
Other practice location 1
3291 Stanford Ranch Rd Ste 102
Rocklin, CA 95765-5577
Phone (916) 435-1665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220816003171 | OH | Order and Referring Only - Dentist | 8123401635 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108945 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rodgers and Ghazal Dental Corporation | Past | Accepting new patients | |
| Ricky V Tran Dental Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Rocklin Modern Dentistry
- General Practice Dentistry
- Irvine, CA
- NPI 1255737524
-
dba Highland Dental Group
- General Practice Dentistry
- Rocklin, CA
- NPI 1508947771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1336893833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5182 COMMONS DR UNIT 101",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "956773911",
"telephone_number": "248-421-1858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5182 COMMONS DR",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "956773911",
"telephone_number": "916-660-9487"
}
],
"practiceLocations": [
{
"address_1": "3291 Stanford Ranch Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Rocklin",
"state": "CA",
"postal_code": "957655577",
"country_code": "US",
"telephone_number": "916-435-1665",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIN",
"first_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-04",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "108945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocklin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.