Individual provider Active NPI

Kevin K Lin, DDS

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1699016576
Registry record updated Mar 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
62173 Issued in CA
Practice address
886 Hilgard Ave
Apt 202
Los Angeles, CA 90024-3155
Phone
(310) 909-9668
NPI assigned
Mar 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 62173 CA Primary

Addresses

Primary practice location

886 Hilgard Ave
Apt 202
Los Angeles, CA 90024-3155

Mailing address

886 Hilgard Ave
Apt 202
Los Angeles, CA 90024-3155
Phone (310) 909-9668

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150706000909 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2062724065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: klin958089@wm.providencedirect.org

NPI Registry JSON

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

{
    "created_epoch": "1362182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362182400000",
    "number": "1699016576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "886 HILGARD AVE",
            "address_2": "APT 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243155",
            "telephone_number": "310-909-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "886 HILGARD AVE",
            "address_2": "APT 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243155",
            "telephone_number": "310-909-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "KEVIN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-02",
        "last_updated": "2013-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.