Active NPI
David T Lin, MD
- Diagnostic Radiology Physician
- Murfreesboro, TN
National Provider Identifier
1851375554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35118
- Practice address
- 3400 Lebanon Rd # 114
Murfreesboro, TN 37129-1392 - Phone
- (615) 225-4894
- Fax
- (615) 225-6381
- NPI assigned
- Dec 6, 2005
- 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 |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 35118 | TN | |
| Diagnostic Radiology Physician | 2085R0202X | 35118 | TN | Primary |
Addresses
Primary practice location
3400 Lebanon Rd # 114
Murfreesboro, TN 37129-1392
Mailing address
3400 Lebanon Rd # 114
Murfreesboro, TN 37129-1392
Phone (615) 225-4894
Other practice location 1
2300 Patterson St
Centennial Medical Center
Nashville, TN 37203-1538
Phone (615) 342-1071
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3721492 | Medicaid | TN | |
| 3791307 | Medicaid | TN | |
| 3861844 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35118 | TN | MD | Body Imaging Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538352000000",
"number": "1851375554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 LEBANON RD # 114",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371291392",
"telephone_number": "615-225-4894",
"fax_number": "615-225-6381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 LEBANON RD # 114",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371291392",
"telephone_number": "615-225-4894",
"fax_number": "615-225-6381"
}
],
"practiceLocations": [
{
"address_1": "2300 Patterson St",
"address_2": "Centennial Medical Center",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372031538",
"country_code": "US",
"telephone_number": "615-342-1071",
"fax_number": "615-342-1065",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIN",
"first_name": "DAVID",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2018-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "TN",
"license": "35118",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "35118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3721492",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3791307",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3861844",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.