Rob Dean Lyons, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D0974 Issued in SD

Practice address

5955 Mount Rushmore Rd Ste a
Rapid City, SD 57701

Phone

(605) 791-5005

Fax

(605) 791-3003

NPI assigned

Jul 12, 2011

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ponderosa Smiles

  • General Practice Dentistry
  • Rapid City, SD
  • NPI 1053919506
  NPD Authorized official

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1134417058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 MOUNT RUSHMORE RD STE A",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577018960",
            "telephone_number": "605-791-5005",
            "fax_number": "605-791-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 MOUNT RUSHMORE RD STE A",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57701",
            "telephone_number": "605-791-5005",
            "fax_number": "605-791-3003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 N 5th St",
            "address_purpose": "LOCATION",
            "city": "Custer",
            "state": "SD",
            "postal_code": "577301528",
            "country_code": "US",
            "telephone_number": "605-673-2011",
            "fax_number": "605-673-4529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYONS",
        "first_name": "ROB",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-12",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D0974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann Lux, CSW-PIP, LCSW
• Lycia C. Thornburg, M.D., P.C.
• Lyde J Adams DDS Inc
• Lyde J. Adams, D.D.S. Inc.
• Edward Joseph Lynch, DDS
• Kelly Lytle, DDS
• M & D Enterprises PC
• M. Scott Ellender, OD and Elizabeth a Ellender, OD, PC
• Julie Maas, LPC
• Jaylynn M Mace

• General Practice Dentistry in Rapid City, SD
• Providers in Rapid City, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.