Individual provider Active NPI

Lynette Maxwell Pierce, DDS

  • General Practice Dentistry
  • Fayetteville, NC
National Provider Identifier
1174879423
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NC5513 Issued in NC
Practice address
2537-B Raeford Rd
Fayetteville, NC 28305
Phone
(910) 433-4600
Fax
(910) 486-6995
NPI assigned
Jul 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NC5513 NC Primary

Addresses

Primary practice location

2537-B Raeford Rd
Fayetteville, NC 28305

Mailing address

2537-B Raeford Rd
Fayetteville, NC 28305
Phone (910) 433-4600

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

State licenses

LicenseStateTypeSpecialty
NC5513NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Barkman Middleton DDS PA Past Accepting new patients
Lynette M. McDonald DDS PA Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1174879423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537-B RAEFORD RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28305",
            "telephone_number": "910-433-4600",
            "fax_number": "910-486-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2537-B RAEFORD RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28305",
            "telephone_number": "910-433-4600",
            "fax_number": "910-486-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "LYNETTE",
        "middle_name": "MAXWELL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC5513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.