NPIMap

Organization Active NPI

Lyon Endodontics, PLC.

  • Endodontics
  • South Lyon, MI
National Provider Identifier
1306578018
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
LYON ENDODONTICS, PLC.
Practice address
112 E Lake St
South Lyon, MI 48178
Phone
(248) 617-3747
Fax
(248) 617-3748
NPI assigned
Jun 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Dr. Edgardo Zuniga, DDS. MSNPI 1861781643
Title
Endodontist
Phone
(201) 952-6361

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

112 E Lake St
South Lyon, MI 48178

Mailing address

112 E Lake St
South Lyon, MI 48178
Phone (248) 617-3747

National Provider Directory

National Provider Directory

Locations

112 E Lake St
South Lyon, MI 48178
Phone (248) 617-3747

Practitioners & affiliated clinicians

Practitioners 1

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": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1306578018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E LAKE ST",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "48178",
            "telephone_number": "248-617-3747",
            "fax_number": "248-617-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E LAKE ST",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "48178",
            "telephone_number": "248-617-3747",
            "fax_number": "248-617-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYON ENDODONTICS, PLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "ZUNIGA",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "201-952-6361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS. MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lyon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.