Active NPI
Philip Liang-Ying Lin, DDS, MD
- Oral and Maxillofacial Surgery (Dentist)
- Bellevue, WA
National Provider Identifier
1407086416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 60985532
- Practice address
- 12600 SE 38TH St Ste 100
Bellevue, WA 98006-6106 - Phone
- (425) 746-9789
- NPI assigned
- Jul 24, 2009
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9062 | KY | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 9062 | KY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 60985532 | WA | Primary |
Addresses
Primary practice location
12600 SE 38TH St Ste 100
Bellevue, WA 98006-6106
Mailing address
12600 SE 38TH St Ste 100
Bellevue, WA 98006-6106
Phone (425) 746-9789
Other practice location 1
800 Rose St Chandler Medical Ctr
Lexington, KY 40536-0297
Phone (859) 323-6080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9062 | KY | MD | Dentist |
| 60985532 | WA | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1407086416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12600 SE 38TH ST STE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980066106",
"telephone_number": "425-746-9789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12600 SE 38TH ST STE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980066106",
"telephone_number": "425-746-9789"
}
],
"practiceLocations": [
{
"address_1": "800 Rose St Chandler Medical Ctr",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405360297",
"country_code": "US",
"telephone_number": "859-323-6080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIN",
"first_name": "PHILIP",
"middle_name": "LIANG-YING",
"credential": "DDS, MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-24",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "9062",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "KY",
"license": "9062",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "WA",
"license": "60985532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.