Shradha Lyttle, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

29077 Issued in TX

Practice address

2430 S Interstate 35 E # South
Suite 210
Denton, TX 76205-4986

Phone

(940) 387-2214

NPI assigned

Feb 1, 2014

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lillian Miller Dental

  • Dentist
  • Krum, TX
  • NPI 1508070640
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 22, 2020.

{
    "created_epoch": "1391212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1437572005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 S INTERSTATE 35 E STE 210",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762054944",
            "telephone_number": "402-452-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 S INTERSTATE 35 E # SOUTH",
            "address_2": "SUITE 210",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762054986",
            "telephone_number": "940-387-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYTTLE",
        "first_name": "SHRADHA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-01",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyn D. Ward, MD, PA
• Catherine C Lynch, SLP
• Eddy Lynton, PHD, LCDC
• Alexandra Brooke Lyons, DPT
• Michele Lyons
• M Siddhappan MD PA
• M&D Specialty Services PA
• M&H Management, Inc.
• Raymond Jason Mac
• Andrea Mack, BCBA, LBA

• All providers in Denton, TX
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.