NPIMap

Organization Active NPI

John Lin, DMD, Inc.

Doing business as SoCal Dental

  • General Practice Dentistry
  • Garden Grove, CA
National Provider Identifier
1750498606
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44011 Issued in CA
Legal business name
JOHN LIN, DMD, INC.
Doing business as
SoCal Dental
Practice address
12901 Harbor Blvd
Ste. a-3
Garden Grove, CA 92840-5830
Phone
(714) 638-7554
Fax
(714) 638-8322
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Authorized official

Name
John S Lin, DMDNPI 1679584270
Title
President/Ceo
Phone
(714) 638-7554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 44011 CA Primary

Addresses

Primary practice location

12901 Harbor Blvd
Ste. a-3
Garden Grove, CA 92840-5830

Mailing address

12901 Harbor Blvd
Ste. a-3
Garden Grove, CA 92840-5830
Phone (714) 638-7554

Other names 1

  • SoCal Dental Doing business as

National Provider Directory

National Provider Directory

Locations

12901 Harbor Blvd
Ste A3
Garden Grove, CA 92840
Phone (714) 638-7554

Interoperability endpoints

  • Direct secure messaging: john@johnlindmd.dentimaxdirect.com
  • Direct secure messaging: khuh@johnlindmd.dentimaxdirect.com
  • Direct secure messaging: dcao@johnlindmd.dentimaxdirect.com

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1750498606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12901 HARBOR BLVD",
            "address_2": "STE. A-3",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405830",
            "telephone_number": "714-638-7554",
            "fax_number": "714-638-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12901 HARBOR BLVD",
            "address_2": "STE. A-3",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405830",
            "telephone_number": "714-638-7554",
            "fax_number": "714-638-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN LIN, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "714-638-7554",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SoCal Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.