Organization Active NPI

James J. Lynn, DMD, PA

  • General Practice Dentistry
  • Easley, SC
National Provider Identifier
1356621452
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1853 Issued in SC
Legal business name
JAMES J. LYNN, DMD, PA
Practice address
105 Sheringham Dr
Easley, SC 29642-2615
Phone
(864) 269-0600
NPI assigned
Aug 19, 2011
Last updated
Nov 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Authorized official

Name
Susans Lynn, RDH
Title
Office Manager
Phone
(864) 269-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1853 SC Primary

Addresses

Primary practice location

105 Sheringham Dr
Easley, SC 29642-2615

Mailing address

PO Box 1054
Easley, SC 29641-1054
Phone (864) 269-0600

Other identifiers 1

IdentifierTypeStateIssuer
1184641789OtherSCNEED NEW NPI # TYPE 2- TYPE 1 IS PRINTED BELOW

National Provider Directory

National Provider Directory

Locations

105 Sheringham Dr
Easley, SC 29642
Phone (864) 269-0600

Practitioners & affiliated clinicians

Practitioners 1

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": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1356621452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1054",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296411054",
            "telephone_number": "864-269-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SHERINGHAM DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296422615",
            "telephone_number": "864-269-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES J. LYNN, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "SUSANS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-269-0600",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "1853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEED NEW NPI # TYPE 2- TYPE 1 IS PRINTED BELOW",
            "identifier": "1184641789",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.