NPIMap

Organization Active NPI

Lynn Hyland DDS PCS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Kalamazoo, MI
National Provider Identifier
1275721532
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2901017013 Issued in MI
Legal business name
LYNN HYLAND DDS PCS PC
Practice address
1900 Whites Rd
Kalamazoo, MI 49008-2872
Phone
(269) 382-0482
Fax
(269) 382-2906
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Dr. Lynn Clair Hyland, DDS
Title
Owner
Phone
(269) 382-0482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 2901017013 MI Primary

Addresses

Primary practice location

1900 Whites Rd
Kalamazoo, MI 49008-2872

Mailing address

1900 Whites Rd
Kalamazoo, MI 49008-2872
Phone (269) 382-0482

Other identifiers 3

IdentifierTypeStateIssuer
1701300OtherMIBLUE CROSS/BLUE SHIELD
3289781MedicaidMI
9753961130OtherMIBLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1900 Whites Rd
#C
Kalamazoo, MI 49008
Phone (269) 382-0482

1900 Whites Rd
Ste 3
Kalamazoo, MI 49008
Phone (269) 382-0482

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1275721532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 WHITES RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082872",
            "telephone_number": "269-382-0482",
            "fax_number": "269-382-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 WHITES RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082872",
            "telephone_number": "269-382-0482",
            "fax_number": "269-382-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN HYLAND DDS PCS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "HYLAND",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "CLAIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-382-0482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901017013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "1701300",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3289781",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "9753961130",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.