Individual provider Active NPI

Patrick Michael Lin, D.C.

  • Chiropractor
  • Cedar Park, TX
National Provider Identifier
1346536356
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11790 Issued in TX
Practice address
201 S Lakeline Blvd
Suite 101
Cedar Park, TX 78613-2718
Phone
(512) 331-7422
NPI assigned
Jun 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11790 TX Primary

Addresses

Primary practice location

201 S Lakeline Blvd
Suite 101
Cedar Park, TX 78613-2718

Mailing address

201 S Lakeline Blvd
Suite 101
Cedar Park, TX 78613-2718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111121000950 TX Practitioner - Chiropractic 7911175476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Symmetry Health Chiropractic Center, PLLCGroup PAC ID 7012185572, 4 clinicians

Practice addresses (Care Compare)

200 E New Hope Dr
Cedar Park, TX 78613-6301
Phone (512) 456-7434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11790TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Symmetry Health Chiropractic Center, PLLC Chiropractor CurrentSince Feb 17, 2011 Accepting new patients

Locations

201 S Lakeline Blvd
Ste 101
Cedar Park, TX 78613
Phone (512) 331-7422

200 E New Hope Dr
Cedar Park, TX 78613
Phone (512) 331-7422

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1346536356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S LAKELINE BLVD",
            "address_2": "SUITE 101",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S LAKELINE BLVD",
            "address_2": "SUITE 101",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132718",
            "telephone_number": "512-331-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "PATRICK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.