Organization Active NPI

Brian Lin DDS a Professional Dental Corporation

Doing business as Summit Dental Center

  • Dentist
  • Orange, CA
National Provider Identifier
1659063345
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BRIAN LIN DDS A PROFESSIONAL DENTAL CORPORATION
Doing business as
Summit Dental Center
Practice address
1122 E Lincoln Ave Ste 207
Orange, CA 92865-1909
Phone
(714) 921-2110
Fax
(714) 974-0442
NPI assigned
May 22, 2023
Last updated
May 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Dr. Brian Lin, DDSNPI 1326603507
Title
President
Phone
(909) 919-0869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

1122 E Lincoln Ave Ste 207
Orange, CA 92865-1909

Mailing address

1122 E Lincoln Ave Ste 207
Orange, CA 92865-1909
Phone (714) 921-2110

Other names 1

  • Summit Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

1122 E Lincoln Ave
Ste 207
Orange, CA 92865
Phone (714) 921-2110

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1659063345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 E LINCOLN AVE STE 207",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651909",
            "telephone_number": "714-921-2110",
            "fax_number": "714-974-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 E LINCOLN AVE STE 207",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651909",
            "telephone_number": "714-921-2110",
            "fax_number": "714-974-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN LIN DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-919-0869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.