Kevin S. Lin, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

103835 Issued in CA

Practice address

9870 Hibert St Ste D12
San Diego, CA 92131-1091

Phone

(858) 566-3688

NPI assigned

Aug 21, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Benjamin J. Lin DDS Inc.

  • Dental Clinic/Center
  • San Diego, CA
  • NPI 1295383362
  NPD

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

{
    "created_epoch": "1471737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1902351836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9870 HIBERT ST STE D12",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9870 HIBERT ST STE D12",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311091",
            "telephone_number": "858-566-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "KEVIN",
        "middle_name": "S.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-21",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857403",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "103835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jian Lin, LAC
• Jonathan Lin
• Joyce B Lin, NP
• Justin Jerluen Lin, PHARMD
• Kevin Lin
• Kyle Shih-Kae Lin
• Li-Ling Lin, PH.D.
• Lisa Lin, M.D.
• Nancy Lin
• Nick Lin, PHARMD

• Periodontics in San Diego, CA
• Providers in San Diego, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.