Active NPI
Kimberly Huyen Lin, D.M.D.
- General Practice Dentistry
- Andover, MA
National Provider Identifier
1821008251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19731
- Practice address
- 311 Lowell St
#2206
Andover, MA 01810-4501 - Phone
- (617) 505-4172
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19731 | MA | Primary |
Addresses
Primary practice location
311 Lowell St
#2206
Andover, MA 01810-4501
Mailing address
311 Lowell St
#2206
Andover, MA 01810-4501
Phone (617) 505-4172
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 |
|---|---|---|---|
| 19731 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821008251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 LOWELL ST",
"address_2": "#2206",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018104501",
"telephone_number": "617-505-4172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 LOWELL ST",
"address_2": "#2206",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018104501",
"telephone_number": "617-505-4172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "KIMBERLY",
"middle_name": "HUYEN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "19731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.