Individual provider Active NPI

Jing Lin, D.M.D.

  • General Practice Dentistry
  • San Bernardino, CA
National Provider Identifier
1477937837
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
64624 Issued in CA
Practice address
2210 E Highland Ave Ste 108
San Bernardino, CA 92404-4666
Phone
(909) 864-8123
NPI assigned
Jul 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 64624 CA Primary

Addresses

Primary practice location

2210 E Highland Ave Ste 108
San Bernardino, CA 92404-4666

Mailing address

1671 Mariposa PL
Beaumont, CA 92223-8403
Phone (909) 363-6267

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

State licenses

LicenseStateTypeSpecialty
64624CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Afzali & Lin Dental Limited Partnership, RC Lifetime Dental CurrentSince Mar 19, 2023 Accepting new patients

Locations

7365 Carnelian St
Ste 135
Rancho Cucamonga, CA 91730
Phone (909) 321-6839

Organizations & group practices 1

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": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1477937837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 MARIPOSA PL",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922238403",
            "telephone_number": "909-363-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 E HIGHLAND AVE STE 108",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044666",
            "telephone_number": "909-864-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "JING",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.