NPIMap

Organization Active NPI

Lyon Family Dentistry

  • Dental Clinic/Center
  • Kearney, NE
National Provider Identifier
1184124752
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7323 Issued in NE
Legal business name
LYON FAMILY DENTISTRY
Practice address
2714 2ND Ave
Kearney, NE 68847-4438
Phone
(308) 440-7895
NPI assigned
Feb 20, 2018
Last updated
Feb 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Authorized official

Name
Dr. Alicia D Lyon, D.D.SNPI 1982054052
Title
Owner
Phone
(308) 440-7895

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7323 NE Primary

Addresses

Primary practice location

2714 2ND Ave
Kearney, NE 68847-4438

Mailing address

4103 F Ave
Kearney, NE 68847-2649
Phone (308) 440-7895

National Provider Directory

National Provider Directory

Locations

2714 2nd Ave
Kearney, NE 68847
Phone (308) 440-7895

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1184124752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 F AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472649",
            "telephone_number": "308-440-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 2ND AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688474438",
            "telephone_number": "308-440-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-440-7895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NE",
            "license": "7323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

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