NPIMap

Organization Active NPI

Lynn E Gassoway,DDS,Inc

  • Dental Clinic/Center
  • Gary, IN
National Provider Identifier
1104039510
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12007149 Issued in IN
Legal business name
LYNN E GASSOWAY,DDS,INC
Practice address
8412 Maple Ave
Gary, IN 46403-1419
Phone
(219) 938-2875
Fax
(219) 938-2875
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lynn Elise Gassoway, DDSNPI 1962500298
Title
President
Phone
(219) 938-2875

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 12007149 IN Primary

Addresses

Primary practice location

8412 Maple Ave
Gary, IN 46403-1419

Mailing address

8412 Maple Ave
Gary, IN 46403-1419
Phone (219) 938-2875

National Provider Directory

National Provider Directory

Locations

8412 Maple Ave
Gary, IN 46403
Phone (219) 938-2875

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104039510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8412 MAPLE AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464031419",
            "telephone_number": "219-938-2875",
            "fax_number": "219-938-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8412 MAPLE AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464031419",
            "telephone_number": "219-938-2875",
            "fax_number": "219-938-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN E GASSOWAY,DDS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GASSOWAY",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-938-2875",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12007149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.