Active NPI
Alexis Dyann Lyons
- Orthodontics and Dentofacial Orthopedics Dentistry
- Citrus Heights, CA
National Provider Identifier
1164689212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 57182
- Practice address
- 7916 Pebble Beach Dr
Suite 105
Citrus Heights, CA 95610-7790 - Phone
- (916) 962-0577
- Fax
- (916) 962-0584
- NPI assigned
- May 16, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 57182 | CA | Primary |
Addresses
Primary practice location
7916 Pebble Beach Dr
Suite 105
Citrus Heights, CA 95610-7790
Mailing address
7916 Pebble Beach Dr
Suite 105
Citrus Heights, CA 95610-7790
Phone (916) 962-0577
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350604800000",
"number": "1164689212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7916 PEBBLE BEACH DR",
"address_2": "SUITE 105",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956107790",
"telephone_number": "916-962-0577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7916 PEBBLE BEACH DR",
"address_2": "SUITE 105",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956107790",
"telephone_number": "916-962-0577",
"fax_number": "916-962-0584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYONS",
"first_name": "ALEXIS",
"middle_name": "DYANN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-16",
"last_updated": "2012-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "57182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Citrus Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.