Individual provider Active NPI

Lynn Davis Hjerpyn, D.D.S.

  • Dentist
  • Barberton, OH
National Provider Identifier
1275621120
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19266 Issued in OH
Practice address
801 E State St
Barberton, OH 44203-3738
Phone
(330) 745-3422
NPI assigned
Oct 10, 2006
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19266 OH Primary

Addresses

Primary practice location

801 E State St
Barberton, OH 44203-3738

Mailing address

801 E State St
Barberton, OH 44203-3738
Phone (330) 745-3422

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151110002077 OH Order and Referring Only - DentistPractitioner - Dentist 5193035905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19266OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Park Dental, Inc. CurrentSince Sep 23, 2005 Accepting new patients

Locations

801 E State St
Barberton, OH 44203
Phone (330) 745-3422

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1275621120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E STATE ST",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442033738",
            "telephone_number": "330-745-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E STATE ST",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442033738",
            "telephone_number": "330-745-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HJERPYN",
        "first_name": "LYNN",
        "middle_name": "DAVIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-11-09",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "19266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barberton, OH

Sources for this page

Verify at the official NPI Registry.