Active NPI
William W. Lin, D.D.S.
- General Practice Dentistry
- Temple City, CA
National Provider Identifier
1609976307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- B38320
- Practice address
- 5405 Baldwin Ave.
Temple City, CA 91780-2625 - Phone
- (626) 282-4548
- Fax
- (626) 872-2571
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | B38320 | CA | Primary |
Addresses
Primary practice location
5405 Baldwin Ave.
Temple City, CA 91780-2625
Mailing address
5405 Baldwin Ave
Temple City, CA 91780-2625
Phone (626) 282-4548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160414002169 | CA | Order and Referring Only - Dentist | 3779881370 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B38320 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415059200000",
"number": "1609976307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5405 BALDWIN AVE",
"city": "TEMPLE CITY",
"state": "CA",
"postal_code": "917802625",
"telephone_number": "626-282-4548",
"fax_number": "626-872-2571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5405 BALDWIN AVE.",
"city": "TEMPLE CITY",
"state": "CA",
"postal_code": "917802625",
"telephone_number": "626-282-4548",
"fax_number": "626-872-2571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "WILLIAM",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2014-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "B38320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.