Individual provider Active NPI

Michael C Lin, D.D.S.

  • General Practice Dentistry
  • Little Neck, NY
National Provider Identifier
1750586640
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
053888 Issued in NY
Practice address
4522 Little Neck Pkwy
Suite 2
Little Neck, NY 11362-1456
Phone
(718) 229-9100
NPI assigned
Jun 19, 2007
Last updated
Jan 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 053888 NY Primary

Addresses

Primary practice location

4522 Little Neck Pkwy
Suite 2
Little Neck, NY 11362-1456

Mailing address

4522 Little Neck Pkwy
Suite 2
Little Neck, NY 11362-1456

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

LicenseStateTypeSpecialty
053888NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Exquisite Dental Care, PLLC General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mil7043@direct.nyp.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1750586640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4522 LITTLE NECK PKWY",
            "address_2": "SUITE 2",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 LITTLE NECK PKWY",
            "address_2": "SUITE 2",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621456",
            "telephone_number": "718-229-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.