Frederick William Lindblom, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28191 Issued in CA

Practice address

5153 Jackson Dr
La Mesa, CA 91941-4021

Phone

(619) 460-2280

Fax

(619) 460-2285

NPI assigned

Feb 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Salehpour Dental Corp

  dba Kind Dental of La Mesa

  • Dental Clinic/Center
  • La Mesa, CA
  • NPI 1063099430
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730214974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5153 JACKSON DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919414021",
            "telephone_number": "619-460-2280",
            "fax_number": "619-460-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5153 JACKSON DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919414021",
            "telephone_number": "619-460-2280",
            "fax_number": "619-460-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDBLOM",
        "first_name": "FREDERICK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Light Hearts Counselling
• Isaac Ramon Limon
• Hong-Der Lin, MD
• Yuan H Lin, M.D.
• Lina Lacasamana-Schein MD Inc
• Lauren Jessica Lines
• Bettina Amber Linner
• William J Linnik, MD
• Jenna I Liu, MD
• Richard Ming-Cheng Liu, MD

• General Practice Dentistry in La Mesa, CA
• Providers in La Mesa, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.