Kevin T Lin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

100397 Issued in CA

Practice address

857 Silver Spur Rd
Rolling Hills Estates, CA 90274-3803

Phone

(310) 377-0966

NPI assigned

Apr 7, 2017

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

State licenses

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1922531896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 SILVER SPUR RD",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 SILVER SPUR RD",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743803",
            "telephone_number": "310-377-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "KEVIN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hsin-Juei Grace Lee, D.D.S
• Sanggoo Lee, LAC.
• Lewis J. Turchi, D.D.S., Inc.
• Edward Preston Liebersbach, D.D.S.
• Chai Sung Lim
• Sharon Lin
• Tiffany Queen Liu, OD
• John Peter Livoni, MD
• Jonathan H Lo, D.D.S
• Christina M Loden, L.AC.

• Dentist in Rolling Hills Estates, CA
• Providers in Rolling Hills Estates, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.