Active NPI
Lynn A Leyde, DDS
- Dentist
- Shoreline, WA
National Provider Identifier
1154476901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6741
- Practice address
- 721 N 182ND St
Suite 301
Shoreline, WA 98133-4400 - Phone
- (206) 542-7967
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6741 | WA | Primary |
Addresses
Primary practice location
721 N 182ND St
Suite 301
Shoreline, WA 98133-4400
Mailing address
PO Box 1523
Edmonds, WA 98020-1523
Phone (206) 542-7967
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6741 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154476901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1523",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980201523",
"telephone_number": "206-542-7967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 N 182ND ST",
"address_2": "SUITE 301",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981334400",
"telephone_number": "206-542-7967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEYDE",
"first_name": "LYNN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "6741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shoreline, WA
Sources for this page
- 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.