NPIMap

Organization Active NPI

Nelson Lin D.D.S. Inc.

  • Dentist
  • Riverside, CA
National Provider Identifier
1669606893
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47119 Issued in CA
Legal business name
NELSON LIN D.D.S. INC.
Practice address
6071 Magnolia St.
Riverside, CA 92506-2525
Phone
(626) 286-2128
NPI assigned
May 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Authorized official

Name
Nelson LinNPI 1073847919
Title
Officer
Phone
(626) 286-2128

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 47119 CA Primary

Addresses

Primary practice location

6071 Magnolia St.
Riverside, CA 92506-2525

Mailing address

9149 Arcadia Ave.
San Gabriel, CA 91775-1420
Phone (626) 286-2128

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1669606893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9149 ARCADIA AVE.",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917751420",
            "telephone_number": "626-286-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 MAGNOLIA ST.",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062525",
            "telephone_number": "626-286-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON LIN D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "626-286-2128"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.