Individual provider Active NPI

Lakyn Bell, DDS

  • General Practice Dentistry
  • Jackson, TN
National Provider Identifier
1023748076
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11936 Issued in TN
Practice address
47 N Star Dr
Jackson, TN 38305-6647
Phone
(731) 664-9556
NPI assigned
Jun 13, 2022
Last updated
Jun 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11936 TN Primary

Addresses

Primary practice location

47 N Star Dr
Jackson, TN 38305-6647

Mailing address

110 Kelly W
Martin, TN 38237-2300
Phone (731) 514-3238

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drlakyn@elitedentalcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11936TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Dental Care Jackson CurrentSince Jul 24, 2022 Accepting new patients

Locations

47 N Star Dr
Jackson, TN 38305
Phone (731) 664-0213

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1023748076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 KELLY W",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382372300",
            "telephone_number": "731-514-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 N STAR DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056647",
            "telephone_number": "731-664-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "LAKYN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "11936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drlakyn@elitedentalcare.com",
            "affiliation": "N",
            "address_1": "47 N Star Dr",
            "city": "Jackson",
            "state": "TN",
            "country_code": "US",
            "postal_code": "383056647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.