Active NPI
Simon Lin, DMD
- Dentist
- Saltville, VA
National Provider Identifier
1710727425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401418938
- Practice address
- 319 5TH Ave
Saltville, VA 24370-3418 - Phone
- (276) 496-4492
- NPI assigned
- May 30, 2024
- Last updated
- May 30, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 0401418938 | VA | Primary |
Addresses
Primary practice location
319 5TH Ave
Saltville, VA 24370-3418
Mailing address
408 Faskin LN
Lexington, SC 29072-8108
Phone (803) 528-2029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401418938 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1710727425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 FASKIN LN",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290728108",
"telephone_number": "803-528-2029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 5TH AVE",
"city": "SALTVILLE",
"state": "VA",
"postal_code": "243703418",
"telephone_number": "276-496-4492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "SIMON",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-30",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401418938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saltville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.