Individual provider Active NPI

Lynn Pierri, D.D.S., M.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Hauppauge, NY
National Provider Identifier
1275506008
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
176820021 Issued in NY
Practice address
400 Townline Rd
Suite 135
Hauppauge, NY 11788-2838
Phone
(631) 360-0266
Fax
(631) 360-0087
NPI assigned
Feb 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 176820021 NY Primary

Addresses

Primary practice location

400 Townline Rd
Suite 135
Hauppauge, NY 11788-2838

Mailing address

400 Townline Rd
Suite 135
Hauppauge, NY 11788-2838
Phone (631) 360-0266

Other identifiers 2

IdentifierTypeStateIssuer
176820021OtherNYADA LICENSE
037333-1OtherNYNYS REG

Other names 1

  • Dr. Lynn Pierri, DDS, Ms Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110214000428 NY Practitioner - Oral SurgeryPractitioner - Maxillofacial SurgeryPractitioner - Dentist 6608056213 Reassigns benefits to 1 organization
O20110323000098 NY DME Supplier - Oral Surgery - Dentist 9436332848 Practice locations: Hauppauge, NY

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Dentist, Maxillofacial Surgery
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 Townline Rd
Suite 135
Hauppauge, NY 11788-2835
Phone (631) 360-0266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
176820021NYMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Destination Dental PLLC CurrentSince Dec 1, 2024 Accepting new patients
Lynn Pierri DDS Ms PLLC CurrentSince Sep 27, 2017 Accepting new patients
Office Based Anesthesia LLC Past Accepting new patients
Suffolk Ambulatory Surgery Facility Past Accepting new patients

Locations

400 Townline Rd
Ste 135
Hauppauge, NY 11788
Phone (631) 360-0266

400 Townline Rd
Ste 150
Hauppauge, NY 11788
Phone (631) 360-0266

Interoperability endpoints

  • Direct secure messaging: lpierri504416@nyumc.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1275506008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TOWNLINE RD",
            "address_2": "SUITE 135",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882838",
            "telephone_number": "631-360-0266",
            "fax_number": "631-360-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TOWNLINE RD",
            "address_2": "SUITE 135",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882838",
            "telephone_number": "631-360-0266",
            "fax_number": "631-360-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRI",
        "first_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "176820021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADA LICENSE",
            "identifier": "176820021",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS REG",
            "identifier": "037333-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "PIERRI, DDS, MS",
            "prefix": "DR.",
            "credential": "D.D.S. M.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.