NPIMap

Organization Active NPI

Benjamin J. Lin, D.M.D., Inc.

Doing business as Custom Dental

  • General Practice Dentistry
  • Bakersfield, CA
National Provider Identifier
1942498746
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54173 Issued in CA
Legal business name
BENJAMIN J. LIN, D.M.D., INC.
Doing business as
Custom Dental
Practice address
3409 Calloway Dr Unit 402
Bakersfield, CA 93312-2517
Phone
(661) 387-6577
NPI assigned
Oct 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Authorized official

Name
Dr. Benjamin J. Lin, D.M.D.NPI 1275570079
Title
Owner/Dentist
Phone
(661) 387-6577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 54173 CA Primary

Addresses

Primary practice location

3409 Calloway Dr Unit 402
Bakersfield, CA 93312-2517

Mailing address

3409 Calloway Dr Unit 402
Bakersfield, CA 93312-2517
Phone (661) 387-6577

Other names 1

  • Custom Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3409 Calloway Dr
Ste 402
Bakersfield, CA 93312
Phone (661) 387-6577

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1942498746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 CALLOWAY DR UNIT 402",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122517",
            "telephone_number": "661-387-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 CALLOWAY DR UNIT 402",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122517",
            "telephone_number": "661-387-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN J. LIN, D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-07",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "661-387-6577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Custom Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.