Individual provider Active NPI

Linfan Jin, DDS

  • Dentist
  • Tulsa, OK
National Provider Identifier
1902336175
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6958 Issued in OK
Practice address
9201 S Toledo Ave
Tulsa, OK 74137-2727
Phone
(918) 749-3600
Fax
(918) 499-1730
NPI assigned
Jun 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6958 OK Primary

Addresses

Primary practice location

9201 S Toledo Ave
Tulsa, OK 74137-2727

Mailing address

9201 S Toledo Ave
Tulsa, OK 74137-2727
Phone (918) 749-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181221001796 OK Practitioner - Dentist 3678818408 Reassigns benefits to 1 organization
I20211005000574 TX Practitioner - Dentist 3678818408 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics CurrentSince Nov 5, 2018 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Nov 5, 2018 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Dr. Jin and Jin DDS PLLC CurrentSince Jan 28, 2024 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jun 5, 2021 Accepting new patients

Locations

31870 E State Highway 51
Coweta, OK 74429
Phone (918) 279-3200

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

9201 S Toledo Ave
Tulsa, OK 74137
Phone (918) 749-3600

Dept 1467
Tulsa, OK 74182

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Interoperability endpoints

  • Direct secure messaging: ljin20604@muscogeecreeknation.direct-ci.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1902336175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 S TOLEDO AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372727",
            "telephone_number": "918-749-3600",
            "fax_number": "918-499-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 S TOLEDO AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372727",
            "telephone_number": "918-749-3600",
            "fax_number": "918-499-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIN",
        "first_name": "LINFAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.