Kathy M Lydic, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30018030 Issued in OH

Practice address

2533 Franksway St
Columbus, OH 43232-4204

Phone

(614) 864-2466

Fax

(614) 864-2638

NPI assigned

Mar 19, 2008

Sex

Female

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• DRS Paul & Lydic DDS, Inc

  • General Practice Dentistry
  • Columbus, OH
  • NPI 1033200464
  NPD (past)

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1215108154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 FRANKSWAY ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432324204",
            "telephone_number": "614-864-2466",
            "fax_number": "614-864-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 FRANKSWAY ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432324204",
            "telephone_number": "614-864-2466",
            "fax_number": "614-864-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYDIC",
        "first_name": "KATHY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30018030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lyden
• Megan Katherine Lyden
• Lydian Counseling & Consultation, LLC
• Lydian Counseling & Consultation, LLC
• Anne Marie Lydic, M.D.
• Donna Rebecca Lydy, BCBA, COBA, LBA
• Rachel E Lydy, PA-C
• McKaileah K Lykes Rankin
• Gerald Lykins, LICDC
• Alyson Lyle

• General Practice Dentistry in Columbus, OH
• Providers in Columbus, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.