NPIMap

Organization Active NPI

Timothy D Lynch DDS PC

  • General Practice Dentistry
  • South Whitley, IN
National Provider Identifier
1265762272
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8507 Issued in IN
Legal business name
TIMOTHY D LYNCH DDS PC
Practice address
202 N State St
South Whitley, IN 46787-1388
Phone
(260) 723-6632
Fax
(260) 723-6185
NPI assigned
Jan 14, 2010
Last updated
Jan 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Authorized official

Name
Mrs. Kelly M Lynch, DDSNPI 1578796405
Title
Secretary
Phone
(260) 723-6632

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8589 IN
General Practice Dentistry 1223G0001X 8507 IN Primary

Addresses

Primary practice location

202 N State St
South Whitley, IN 46787-1388

Mailing address

202 N State St
South Whitley, IN 46787-1388
Phone (260) 723-6632

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1265762272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N STATE ST",
            "city": "SOUTH WHITLEY",
            "state": "IN",
            "postal_code": "467871388",
            "telephone_number": "260-723-6632",
            "fax_number": "260-723-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N STATE ST",
            "city": "SOUTH WHITLEY",
            "state": "IN",
            "postal_code": "467871388",
            "telephone_number": "260-723-6632",
            "fax_number": "260-723-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY D LYNCH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "260-723-6632",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "8589",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "8507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Whitley, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.