Active NPI
Ivy Lin
- Dentist
- Sandy Springs, GA
National Provider Identifier
1871336248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN124183
- Practice address
- 6059 Boylston Dr Ste 150
Sandy Springs, GA 30328-4175 - Phone
- (651) 494-4167
- NPI assigned
- Jun 14, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN29078 | FL | |
| Dentist | 122300000X | DN124183 | GA | Primary |
Addresses
Primary practice location
6059 Boylston Dr Ste 150
Sandy Springs, GA 30328-4175
Mailing address
2651 Satellite Blvd Apt 9012
Duluth, GA 30096-1168
Other practice location 1
2023 Grayson Hwy Ste 203
Grayson, GA 30017-5047
Phone (651) 494-4167
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 |
|---|---|---|---|
| DN29078 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1871336248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2651 SATELLITE BLVD APT 9012",
"city": "DULUTH",
"state": "GA",
"postal_code": "300961168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6059 BOYLSTON DR STE 150",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303284175",
"telephone_number": "651-494-4167"
}
],
"practiceLocations": [
{
"address_1": "2023 Grayson Hwy Ste 203",
"address_purpose": "LOCATION",
"city": "Grayson",
"state": "GA",
"postal_code": "300175047",
"country_code": "US",
"telephone_number": "651-494-4167",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIN",
"first_name": "IVY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-14",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN29078",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN124183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandy Springs, GA
- Life Empowerment Institute (life empowerment wellness center)
- Life Hope Labs LLC
- Lifeline Physical Therapy
- Lifeline Primary Care, Inc
- Lifeologie Sandy Springs
- Marissa Renae Lincoln, BT
- Kristy Bearden Linder, DO
- Raphael Lior, DMD
- Jenna Lipowsky, MS, OTR/L
- Little Lantern Pathways Support Center LLC (Dba Lantern Pathways Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.