Evan Ashley Lynn, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

049622 Issued in NY

Practice address

999 Walt Whitman Rd
Suite 302
Melville, NY 11747-3007

Phone

(631) 358-9400

Fax

(631) 358-9421

NPI assigned

Jan 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083762363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E 38TH ST",
            "address_2": "APT 25B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162651",
            "telephone_number": "631-786-0183",
            "fax_number": "646-649-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 WALT WHITMAN RD",
            "address_2": "SUITE 302",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473007",
            "telephone_number": "631-358-9400",
            "fax_number": "631-358-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "EVAN",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "049622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Anthony Lyn
• Gemma Louise Lynch, LMSW
• Jessie F Lynch, MS
• Tracey Lyn Lynch, AU.D., CCC-A
• Lynn K. Adler LCSW, PLLC
• Lynnette Allen Adult Care, NP, PC
• Ashley L Lyons, MA, CCC-SLP, TSSLD
• Keith Lyons, LCSW
• Meagan Lyons
• Kevin H Lysaght, PT

• Endodontics in Melville, NY
• Providers in Melville, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.