Orthodontic Specialists of Green Bay, LTD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

ORTHODONTIC SPECIALISTS OF GREEN BAY, LTD

Practice address

1839 Scheuring Rd
De Pere, WI 54115-9401

Phone

(920) 336-2299

NPI assigned

Nov 24, 2006

Last updated

Nov 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward Y Lin, DDS, MSNPI 1962737338

Title

Pres

Phone

(920) 336-2299

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Y Lin, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Green Bay, WI
  • NPI 1962737338
  Authorized official Same address or phone

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1376618207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 SCHEURING ROAD",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "54115",
            "telephone_number": "920-336-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 SCHEURING RD",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159401",
            "telephone_number": "920-336-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIC SPECIALISTS OF GREEN BAY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "920-336-2299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Miriam Olson, MD
• Jacob Scott Ommen
• Optum Behavioral Care of Colorado, P.C.
• Optum Behavioral Care of Colorado, P.C.
• Heather Orlando
• Orthopedic & Spine Therapy of Green Bay SC
• Orthopedic & Spine Therapy of Green Bay SC
• Orthopedic & Spine Therapy of Green Bay, SC
• Orthopedic Alternatives LLC
• Tammy Oskey

• Orthodontics and Dentofacial Orthopedics Dentistry in De Pere, WI
• Providers in De Pere, WI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.