Chang Chun Lin I, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16494 Issued in MD

Practice address

633 Greenway Rd SE
Glen Burnie, MD 21061-3713

Phone

(951) 329-0795

NPI assigned

Mar 31, 2019

Last updated

Mar 31, 2019By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553990400000",
    "number": "1760943799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7411 SINGLETREE LN",
            "city": "JESSUP",
            "state": "MD",
            "postal_code": "207948706",
            "telephone_number": "951-329-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 GREENWAY RD SE",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613713",
            "telephone_number": "951-329-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "CHANG CHUN",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-31",
        "last_updated": "2019-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifetime Dental Care of Maryland, Badger, P.C. (Dental Designs of Glen Burnie)
• Kurt Light, OTR
• Sigmund Jacob Lilian, MD
• Lilly's Place
• Carina Song Lim, PA-C
• Spenser Lloyd Lincoln, PT, DPT
• Keri Anita Lindemann, OTA/L
• Catherine Gaines Ling, FNP
• Sara Linnehan, LCSW-C
• Lisa Horton, M.D.,P.a.

• General Practice Dentistry in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2019; 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.