NPIMap

Organization Active NPI

Douglas Lin, DDS, Inc

  • Dentist
  • Brentwood, CA
National Provider Identifier
1376017434
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DOUGLAS LIN, DDS, INC
Practice address
3120 Balfour Rd Ste D
Brentwood, CA 94513-5514
Phone
(925) 634-4040
NPI assigned
Jan 11, 2019
Organization subpart
Yes
Parent organization
DOUGLAS LIN DDS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Authorized official

Name
Douglas C Lin, DDS
Title
President
Phone
(925) 634-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3120 Balfour Rd Ste D
Brentwood, CA 94513-5514

Mailing address

3120 Balfour Rd Ste D
Brentwood, CA 94513-5514
Phone (925) 634-4040

Other names 1

  • Hercules Dental Care in Brentwood Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Douglas Lin DDS Inc3 organizations share this tax ID, including this one
Part of
Douglas Lin DDS Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3120 Balfour Rd
Ste D
Brentwood, CA 94513
Phone (925) 634-4040

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1376017434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 BALFOUR RD STE D",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135514",
            "telephone_number": "925-634-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 BALFOUR RD STE D",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135514",
            "telephone_number": "925-634-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS LIN, DDS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOUGLAS LIN DDS INC",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-634-4040",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hercules Dental Care in Brentwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brentwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.