Active NPI
Thomas J Lyle DDS PC
- Dentist
- Des Moines, IA
National Provider Identifier
1376700260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 06797
- Legal business name
- THOMAS J LYLE DDS PC
- Practice address
- 2707 Easton Blvd
Des Moines, IA 50317-6123 - Phone
- (515) 265-0339
- Fax
- (515) 265-0339
- NPI assigned
- May 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas James Lyle, DDS
- Title
- President
- Phone
- (515) 265-0339
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 06797 | IA | Primary |
Addresses
Primary practice location
2707 Easton Blvd
Des Moines, IA 50317-6123
Mailing address
2707 Easton Blvd
Des Moines, IA 50317-6123
Phone (515) 265-0339
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0195958 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
2707 Easton Blvd
Des Moines, IA 50317
Phone (515) 265-0339
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Des Moines, IA
- NPI 1629638937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211155200000",
"number": "1376700260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2707 EASTON BLVD",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503176123",
"telephone_number": "515-265-0339",
"fax_number": "515-265-0339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2707 EASTON BLVD",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503176123",
"telephone_number": "515-265-0339",
"fax_number": "515-265-0339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS J LYLE DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-19",
"last_updated": "2008-05-19",
"status": "A",
"authorized_official_last_name": "LYLE",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "515-265-0339",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "IA",
"license": "06797",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0195958",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.