Marcus Lin, DDS, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

61976 Issued in CA

Legal business name

MARCUS LIN, DDS, INC.

Doing business as

kohoutek dental

Practice address

29300 Kohoutek Way
Suite 100
Union City, CA 94587-1252

Phone

(347) 285-1174

NPI assigned

Nov 20, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Marcus Lin, DDS

Title

Owner President

Phone

(347) 285-1174

Specialties & licenses 1

Addresses

Other names 1

• kohoutek dental Doing business as

Locations

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1467882852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29300 KOHOUTEK WAY",
            "address_2": "SUITE 100",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945871252",
            "telephone_number": "347-285-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29300 KOHOUTEK WAY",
            "address_2": "SUITE 100",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945871252",
            "telephone_number": "347-285-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUS LIN, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "347-285-1174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "61976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "kohoutek dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karin Manning
• Keoni Malasa Manzana, PHARM.D.
• May Y. Mar, D.O.
• Ketki P Marathe
• Joanne Marcelo
• Marissa V Gacote (Alvarado Medical Clinic)
• Jasmine Marquez, MPH, IBCLC
• Amber Martinez
• Aubrey Martinez
• Kailey Miranda Martinez

• Dentist in Union City, CA
• Providers in Union City, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.