Active NPI
Andrew Hongyu Lin, DDS
- Dentist
- Artesia, CA
National Provider Identifier
1750906624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 107579
- Practice address
- 11635 South St
Artesia, CA 90701-6628 - Phone
- (562) 924-4401
- NPI assigned
- Jun 16, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 107579 | CA | Primary |
Addresses
Primary practice location
11635 South St
Artesia, CA 90701-6628
Mailing address
11635 South St
Artesia, CA 90701-6628
Phone (562) 924-4401
Other practice location 1
Stony Brook Medicine Hsc Level 4 Room 176
Stony Brook, NY 11794-8430
Phone (631) 638-8517
Other practice location 2
714 Tiverton Ave
Los Angeles, CA 90095-8361
Phone (626) 716-7898
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 |
|---|---|---|---|
| 107579 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1750906624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11635 SOUTH ST",
"city": "ARTESIA",
"state": "CA",
"postal_code": "907016628",
"telephone_number": "562-924-4401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11635 SOUTH ST",
"city": "ARTESIA",
"state": "CA",
"postal_code": "907016628",
"telephone_number": "562-924-4401"
}
],
"practiceLocations": [
{
"address_1": "Stony Brook Medicine Hsc Level 4 Room 176",
"address_purpose": "LOCATION",
"city": "Stony Brook",
"state": "NY",
"postal_code": "117948430",
"country_code": "US",
"telephone_number": "631-638-8517",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "714 Tiverton Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900958361",
"country_code": "US",
"telephone_number": "626-716-7898",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIN",
"first_name": "ANDREW HONGYU",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-16",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "107579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Artesia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.