Sheng Chuan Lin, D.M.D.
Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · Bee Cave, TX
NPI 1356790976 · NPPES record last updated Jul 1, 2021
Key facts
- NPI
- 1356790976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- 37166 (TX)
- Practice address
- 4005 Market St Ste 150
Bee Cave, TX 78738-6913 - Phone
- (617) 959-7051
- NPI assigned
- Jun 4, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 26, 2020 through Oct 26, 2026
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100226 | CA | MD | Marriage & Family Therapist |
| DDS100226 | CA | MD | Dentist |
| 37166 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adel Khalil D.D.S., M.D. P.C. | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| A Khalil DDS Apc | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Interoperability endpoints
- slin552000@hisp.ehr.sutterhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS100226 | CA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 37166 | TX | Yes |
Addresses
Primary practice location
4005 Market St Ste 150
Bee Cave, TX 78738-6913
Mailing address
4009 Sabio Dr Apt 308
Austin, TX 78749-4811
Phone (617) 959-7051
Other providers in Bee Cave, TX
- Lake Travis Pharmacy Partners LLC
- Lakeway Pharmacy LLC
- Megan Hannah Laney
- Billy Ray Ledbetter Jr.
- Heeseung Jennifer Lim
- Svetlana Alexander Lisovskiy
- Andrew Leland Long
- Matthew Cody Lubeck
- Andrea Michelle Luise
- Luxottica of America Inc.
All providers in Bee Cave, TX · Oral and Maxillofacial Surgery (Dentist) in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.