Organization Active NPI

Lyons Dental Care, LLC

  • General Practice Dentistry
  • Lyons, KS
National Provider Identifier
1043315971
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4387 Issued in KS
Legal business name
LYONS DENTAL CARE, LLC
Practice address
220 W Commercial St
Lyons, KS 67554-2716
Phone
(620) 257-5193
NPI assigned
Sep 14, 2006
Last updated
May 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Authorized official

Name
Matthew Aaron Perry, DMD
Title
Dr
Phone
(620) 257-5193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4387 KS Primary

Addresses

Primary practice location

220 W Commercial St
Lyons, KS 67554-2716

Mailing address

PO Box 696
Lyons, KS 67554-0696
Phone (620) 257-5193

National Provider Directory

National Provider Directory

Locations

220 W Commercial St
Lyons, KS 67554
Phone (620) 257-5193

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1043315971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 696",
            "city": "LYONS",
            "state": "KS",
            "postal_code": "675540696",
            "telephone_number": "620-257-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W COMMERCIAL ST",
            "city": "LYONS",
            "state": "KS",
            "postal_code": "675542716",
            "telephone_number": "620-257-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYONS DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "620-257-5193",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "4387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyons, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.