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Deactivated NPI 1124236427 Deactivated / Inactive NPI Male Practitioner

Dr. Jerry C. Lin , DDS

Dentist - General Practice • Northridge, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerry Lin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 18, 2007
NPI Deactivation Date March 09, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Lin, DDS was a registered Dentist - General Practice practicing in Northridge, CA. Throughout an active medical career spanning 11 years, Dr. Lin provided care at the practice location at 9535 RESEDA BLVD until profile deactivation on 2018-03-09.

Practice Location & Contact Primary Location

Practice Address

9535 Reseda Blvd
202

Northridge, CA 913242310

Telephone 8189934428
Fax 8189935007
Associated Practice Facility / Clinic
🏢 David P Lunt, Dds, Inc Facility NPI 1205992401

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Northridge, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
59 Specialists

Practicing in Northridge, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 43634

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Yongjin Yoo , LAC

Acupuncturist

NPI 1013945716

Licensed Acupuncturist

Dr. Mary Leah Lorenzo , DDS

Dentist - General Practice

NPI 1144538596

Doctor of Dental Surgery

NPI 1275691917

Doctor of Dental Surgery

NPI 1306915343

Doctor of Chiropractic

Mei Nastasiu , OMD

Acupuncturist

NPI 1346530052
Dr. Narbeh Kureghian , DMD

Dentist - General Practice

NPI 1417040791

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 09, 2018

Record deactivated on March 09, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 9535 RESEDA BLVD, 202, NORTHRIDGE, CA 913242310 (Tel: 8189934428)

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Updated Business Mailing Address July 08, 2007

Registered at 9535 RESEDA BLVD, 202, NORTHRIDGE, CA 913242310 (Tel: 8189934428)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JERRY LIN, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #43634 in CA)

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Initial NPI Registration & Enumeration May 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124236427
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2007
Last Update: July 08, 2007
Deactivation Date: March 09, 2018

Mailing Address

9535 Reseda Blvd, 202

Northridge, CA 913242310

Phone: 8189934428

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.