Diana Lin, DMD, MPH

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

22DI02849600 Issued in NJ

Practice address

2630 Holme Ave Ste 103
Philadelphia, PA 19152-3004

Phone

(215) 938-7860

NPI assigned

Apr 16, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lanzi Burke and Associates LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Haddonfield, NJ
  • NPI 1053330217
  Medicare reassignment NPD
• Diana Grace Lin, DMD, MPH, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Raleigh, NC
  • NPI 1245105634
  NPD Authorized official
• University Neurosurgical, PC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Philadelphia, PA
  • NPI 1942254511

  Single Specialty

  NPD
• Penndios, LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Meadowbrook, PA
  • NPI 1588896815

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1457771545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LAKESIDE DRIVE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "18966",
            "telephone_number": "215-938-7863",
            "fax_number": "215-941-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 HOLME AVE STE 103",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523004",
            "telephone_number": "215-938-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "DMD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02849600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chien-Fu Lin, M.D.
• Chung-Fu Lin, MD
• Daniel Lin, M.D.
• Daniel Yanfeng Lin, MD, PHD
• David Lin, MD
• Elaina E. Lin, M.D.
• Elaine Lin, MD
• Emily Lin
• Frank Hanxiong Lin, DO
• Frederick Lin, M.D.

• Oral & Maxillofacial Surgery (D.M.D.) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.