Active NPI
Janne M. Lynch, DDS, PLLC
Doing business as Modern Family Dentistry
- Multi-Specialty Clinic/Center
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janne Marjorie Lynch
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Nurse Practitioner
- Scottsdale, AZ
- NPI 1902493208
-
- Interventional Pain Medicine Physician
- Scottsdale, AZ
- NPI 1013061076
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.