Organization Active NPI

Lynse J. Briney, D.D.S., P.C.

  • Dentist
  • Downers Grove, IL
National Provider Identifier
1104090307
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019026699 Issued in IL
Legal business name
LYNSE J. BRINEY, D.D.S., P.C.
Practice address
950 Ogden Ave
Downers Grove, IL 60515-2810
Phone
(630) 743-6700
NPI assigned
Apr 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Lynse Briney, DDSNPI 1457434466
Title
President
Phone
(773) 503-0370

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019026699 IL Primary

Addresses

Primary practice location

950 Ogden Ave
Downers Grove, IL 60515-2810

Mailing address

4439 N Albany Ave
Chicago, IL 60625-4501
Phone (773) 503-0370

Other names 1

  • Shine Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

950 Ogden Ave
Downers Grove, IL 60515
Phone (630) 743-6700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1104090307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4439 N ALBANY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254501",
            "telephone_number": "773-503-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 OGDEN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152810",
            "telephone_number": "630-743-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNSE J. BRINEY, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "BRINEY",
        "authorized_official_first_name": "LYNSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-503-0370",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shine Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.