Chun-Nan Lin, D.D.S., M.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

54515 Issued in CA

Practice address

323 S. Lincoln Blvd
UCLA-Venice Dental Clinic
Venice, CA 90291

Phone

(310) 392-4103

Fax

(310) 392-8513

NPI assigned

Apr 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• UCLA Venice Clinical

  • General Practice Dentistry
  • Venice, CA
  • NPI 1932253184
  NPD (past)
• UCLA Venice Dental Center

  • Dental Clinic/Center
  • Venice, CA
  • NPI 1255465902
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871711499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 POTRERO GRANDE DR.",
            "address_2": "# 411",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "91755",
            "telephone_number": "626-689-1660",
            "fax_number": "310-392-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S. LINCOLN BLVD",
            "address_2": "UCLA-VENICE DENTAL CLINIC",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "90291",
            "telephone_number": "310-392-4103",
            "fax_number": "310-392-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "CHUN-NAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "54515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lily Anna Levine, RN, PMHNP
• Katie Lewis
• Heather Lilleston, PH.D.
• Glenn Lim
• Aaron Lin
• Margaret Lindauer-Comden, MARGARET COMDEN
• Anne Kerstin Lindemeyer
• Lindsay Stoddard Sudell OT PC
• Briana Little
• Fargo Michael Livingston, B.A.

• Prosthodontics in Venice, CA
• Providers in Venice, CA by specialty
• Prosthodontics in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.