Individual provider Active NPI

Lin Dai, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1699034793
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q1970 Issued in TX
Practice address
5602 Lyons Ave
Houston, TX 77020-4721
Phone
(832) 548-5000
NPI assigned
May 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q1970 TX Primary

Addresses

Primary practice location

5602 Lyons Ave
Houston, TX 77020-4721

Mailing address

PO Box 66308
Houston, TX 77266-6308
Phone (832) 548-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150804004157 TX Practitioner - Family Practice 0648584672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5616 Lawndale St
Houston, TX 77023-3821
Phone (713) 759-0912

6441 High Star Dr
Houston, TX 77074-5005
Phone (832) 548-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q1970TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc CurrentSince Nov 2, 2015 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Nov 2, 2015 Accepting new patients

Locations

3517 Irvington Blvd
Ste 200
Houston, TX 77009
Phone (713) 814-3590

5602 Lyons Ave
Houston, TX 77020
Phone (713) 670-0614

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

3811 Lyons Ave
Houston, TX 77020
Phone (713) 814-3494

5616 Lawndale St
Ste A108
Houston, TX 77023
Phone (713) 759-0912

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1699034793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66308",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772666308",
            "telephone_number": "832-548-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 LYONS AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770204721",
            "telephone_number": "832-548-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAI",
        "first_name": "LIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q1970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.