Active NPI
Amy Lin, DMD
- Pediatric Dentistry
- Orland Park, IL
National Provider Identifier
1558048413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS045044
- Practice address
- 9111 W 151St St
Orland Park, IL 60462-3202 - Phone
- (708) 590-4422
- Fax
- (708) 590-4433
- NPI assigned
- Jul 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DS045044 | PA | Primary |
Addresses
Primary practice location
9111 W 151St St
Orland Park, IL 60462-3202
Mailing address
9111 W 151St St
Orland Park, IL 60462-3202
Phone (708) 590-4422
Other practice location 1
6305 W 95th St Fl 2
Oak Lawn, IL 60453-2255
Phone (708) 424-1300
Other practice location 2
240 Geiger Rd
Philadelphia, PA 19115-1008
Phone (215) 677-0380
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS045044 | PA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1558048413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9111 W 151ST ST",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604623202",
"telephone_number": "708-590-4422",
"fax_number": "708-590-4433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9111 W 151ST ST",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604623202",
"telephone_number": "708-590-4422",
"fax_number": "708-590-4433"
}
],
"practiceLocations": [
{
"address_1": "6305 W 95th St Fl 2",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "604532255",
"country_code": "US",
"telephone_number": "708-424-1300",
"fax_number": "708-424-1786",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "240 Geiger Rd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191151008",
"country_code": "US",
"telephone_number": "215-677-0380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIN",
"first_name": "AMY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-03",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS045044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.