Individual provider Active NPI

Din Lam, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Indian Trail, NC
National Provider Identifier
1447383286
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2014-01214 Issued in NC
Practice address
301 Indian Trail Rd S
Indian Trail, NC 28079-9101
Phone
(704) 839-0535
Fax
(704) 839-0549
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2014-01214 NC Primary

Addresses

Primary practice location

301 Indian Trail Rd S
Indian Trail, NC 28079-9101

Mailing address

301 Indian Trail Rd S
Indian Trail, NC 28079-9101
Phone (704) 839-0535

Other practice location 1

5427 Hwy 49 S
Suite 104
Harrisburg, NC 28075
Phone (704) 839-0535

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

LicenseStateTypeSpecialty
9847NCMDProfessional Counselor
2014-01214NCMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Facial Surgery and Anesthesia PLLC Oral and Maxillofacial Surgery Past Accepting new patients
Dentistry Vcu Past Accepting new patients

Organizations & group practices 2

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1447383286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 INDIAN TRAIL RD S",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280799101",
            "telephone_number": "704-839-0535",
            "fax_number": "704-839-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 INDIAN TRAIL RD S",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280799101",
            "telephone_number": "704-839-0535",
            "fax_number": "704-839-0549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5427 HWY 49 S",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "NC",
            "postal_code": "28075",
            "country_code": "US",
            "telephone_number": "704-839-0535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAM",
        "first_name": "DIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "2014-01214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.