Organization Active NPI

Lighthouse Dental Group, P.C.

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1902368491
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LIGHTHOUSE DENTAL GROUP, P.C.
Practice address
2521 N Landing Rd Ste 100
Virginia Beach, VA 23456-3460
Phone
(757) 430-9448
NPI assigned
Apr 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Authorized official

Name
Dr. Albert Kao Lin, DMD
Title
Dentist/Owner
Phone
(757) 430-9448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2521 N Landing Rd Ste 100
Virginia Beach, VA 23456-3460

Mailing address

2521 N Landing Rd Ste 100
Virginia Beach, VA 23456-3460
Phone (757) 430-9448

National Provider Directory

National Provider Directory

Locations

2521 North Landing Rd
Ste 100
Virginia Beach, VA 23456
Phone (757) 430-9448

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1902368491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 N LANDING RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563460",
            "telephone_number": "757-430-9448",
            "fax_number": "757-427-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 N LANDING RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563460",
            "telephone_number": "757-430-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE DENTAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "KAO",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "757-430-9448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.