Organization Active NPI

Janne M. Lynch, DDS, PLLC

Doing business as Modern Family Dentistry

  • Multi-Specialty Clinic/Center
  • Glendale, AZ
National Provider Identifier
1073107884
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
JANNE M. LYNCH, DDS, PLLC
Doing business as
Modern Family Dentistry
Practice address
7200 W Bell Rd Ste C3
Glendale, AZ 85308-8530
Phone
(623) 979-1900
NPI assigned
Feb 22, 2021
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Janne Marjorie LynchNPI 1336162049
Title
Owner
Phone
(480) 279-3700

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Customized Equipment (DME) 332BC3200X NU
Orofacial Pain Dentistry 1223X2210X NU

Addresses

Primary practice location

7200 W Bell Rd Ste C3
Glendale, AZ 85308-8530

Mailing address

7200 W Bell Rd Ste C3
Glendale, AZ 85308-8530

Other names 1

  • MODERN FAMILY DENTISTRY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210510001766 AZ Part B Supplier - Clinic/Group Practice 3971912650 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Sun City, AZ; Sedona, AZ; Glendale, AZ; Scottsdale, AZ
O20210517002606 AZ DME Supplier - Oral Surgery - Dentist 3971912650 Practice locations: Glendale, AZ

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1073107884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 W BELL RD STE C3",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 W BELL RD STE C3",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088530",
            "telephone_number": "623-979-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANNE M. LYNCH, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "JANNE",
        "authorized_official_middle_name": "MARJORIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-279-3700"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MODERN FAMILY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.