Organization Active NPI

Lynn Pierri DDS Ms PLLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Hauppauge, NY
National Provider Identifier
1386172104
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
037333-1 Issued in NY
Legal business name
LYNN PIERRI DDS MS PLLC
Practice address
400 Townline Rd Ste 135
Hauppauge, NY 11788-2835
Phone
(631) 360-0266
Fax
(631) 360-0087
NPI assigned
May 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Lynn Pierri, DDSNPI 1275506008
Title
Oral & Maxillofacial Surgeon
Phone
(631) 360-0266

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
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 037333-1 NY Primary

Addresses

Primary practice location

400 Townline Rd Ste 135
Hauppauge, NY 11788-2835

Mailing address

400 Townline Rd Ste 135
Hauppauge, NY 11788-2835
Phone (631) 360-0266

Other identifiers 1

IdentifierTypeStateIssuer
1275506008OtherNYINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180110002886 NY Part B Supplier - Clinic/Group Practice 1951660380 Receives reassigned benefits from 1 practitioner
Practice locations: Hauppauge, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2052482Lynn Pierri, DDS, Ms400 Townline Road, Suite 135, Hauppauge, NY 11788Certificate of waiverJan 9, 2027

National Provider Directory

National Provider Directory

Locations

400 Townline Rd
Ste 135
Hauppauge, NY 11788
Phone (631) 360-0266

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": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1386172104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TOWNLINE RD STE 135",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882835",
            "telephone_number": "631-360-0266",
            "fax_number": "631-360-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TOWNLINE RD STE 135",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882835",
            "telephone_number": "631-360-0266",
            "fax_number": "631-360-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN PIERRI DDS MS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PIERRI",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "ORAL & MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "631-360-0266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "037333-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1275506008",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.