Organization Active NPI

Lin Dental Group Inc

  • Prosthodontics
  • Rosemead, CA
National Provider Identifier
1770924888
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
54515 Issued in CA
Legal business name
LIN DENTAL GROUP INC
Practice address
4120 Rosemead Blvd
Rosemead, CA 91770-4404
Phone
(626) 286-7800
Fax
(626) 286-7600
NPI assigned
Jul 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Authorized official

Name
Dr. Chun Nan Lin, D.D.S., M.S.
Title
Dentist
Phone
(626) 286-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 54515 CA Primary

Addresses

Primary practice location

4120 Rosemead Blvd
Rosemead, CA 91770-4404

Mailing address

4120 Rosemead Blvd
Rosemead, CA 91770-4404
Phone (626) 286-7800

National Provider Directory

National Provider Directory

Locations

4120 Rosemead Blvd
Rosemead, CA 91770
Phone (626) 286-7800

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1770924888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 ROSEMEAD BLVD",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917704404",
            "telephone_number": "626-286-7800",
            "fax_number": "626-286-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 ROSEMEAD BLVD",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917704404",
            "telephone_number": "626-286-7800",
            "fax_number": "626-286-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIN DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "CHUN NAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-286-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "54515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.