Michael Lysonski, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DD4113 Issued in NM

Practice address

11800 Canyonlands PL SE
Albuquerque, NM 87123-5734

Phone

(262) 391-6179

NPI assigned

Mar 24, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1215354600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 CANYONLANDS PL SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871235734",
            "telephone_number": "262-391-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 CANYONLANDS PL SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871235734",
            "telephone_number": "262-391-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYSONSKI",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD4113",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "7245-15",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Sofia Lyons
• C. Rick Lyons, MD
• Nathan Lyons, LMSW
• Ray A. Lyons, DDS,FADPD, DABSCD
• Terry Lyons, M.S., CCC-SLP
• Nathan Lytton, DO
• M & N Compassionate Home Care
• M and a Hospice, Inc
• M D Injury Relief Clinic LLC
• M&M Respiratory Services, LLC

• Dentist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.