Individual provider Active NPI

Elizabeth Bernadean Lyons, DMD

  • Dentist
  • Westerville, OH
National Provider Identifier
1225858293
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.027742 Issued in OH
Practice address
168 Dorchester SQ S
Westerville, OH 43081-7303
Phone
(614) 895-1100
NPI assigned
Oct 15, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
30.027742OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hongwei Wang DDS Inc Dentist Past
since Oct 20, 2024
Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.027742 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

168 Dorchester SQ S
Westerville, OH 43081-7303

Mailing address

6138 Stony Trail LN
Westerville, OH 43081-4093
Phone (906) 369-1432

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 1, 2024.

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1225858293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6138 STONY TRAIL LN",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430814093",
            "telephone_number": "906-369-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 DORCHESTER SQ S",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430817303",
            "telephone_number": "614-895-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "ELIZABETH",
        "middle_name": "BERNADEAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.027742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.