Organization Active NPI

Lin Ma DDS Inc

  • General Practice Dentistry
  • West Covina, CA
National Provider Identifier
1720378607
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46201 Issued in CA
Legal business name
LIN MA DDS INC
Practice address
2145 W Garvey Ave N
West Covina, CA 91790-2086
Phone
(626) 966-4514
Fax
(626) 966-4515
NPI assigned
Apr 13, 2011
Last updated
Apr 13, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
LIN MA DDS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Rosa Idalia Noriega
Title
Office Manager
Phone
(626) 966-4514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 46201 CA Primary

Addresses

Primary practice location

2145 W Garvey Ave N
West Covina, CA 91790-2086

Mailing address

2145 W Garvey Ave N
West Covina, CA 91790-2086
Phone (626) 966-4514

National Provider Directory

National Provider Directory
Tax ID family
Lin Ma DDS Inc3 organizations share this tax ID, including this one
Part of
Lin Ma DDS Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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, 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": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1720378607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 W GARVEY AVE N",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902086",
            "telephone_number": "626-966-4514",
            "fax_number": "626-966-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 W GARVEY AVE N",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902086",
            "telephone_number": "626-966-4514",
            "fax_number": "626-966-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIN MA DDS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIN MA DDS INC",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "NORIEGA",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "IDALIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-966-4514"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.