Active NPI
John Allen Lindsay II, DDS
- Periodontics
- Boca Raton, FL
National Provider Identifier
1467578906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN6423
- Practice address
- 2600 North Military Trail
Suite 310
Boca Raton, FL 33431-6315 - Phone
- (561) 997-4080
- Fax
- (561) 997-7831
- NPI assigned
- Mar 22, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DN6423 | FL | Primary |
Addresses
Primary practice location
2600 North Military Trail
Suite 310
Boca Raton, FL 33431-6315
Mailing address
2600 North Military Trail
Suite 310
Boca Raton, FL 33431-6315
Phone (561) 997-4080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150424000330 | FL | Order and Referring Only - Other (Physician) | 1052630050 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dio Doctors PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467578906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 NORTH MILITARY TRAIL",
"address_2": "SUITE 310",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316315",
"telephone_number": "561-997-4080",
"fax_number": "561-997-7831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 NORTH MILITARY TRAIL",
"address_2": "SUITE 310",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316315",
"telephone_number": "561-997-4080",
"fax_number": "561-997-7831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDSAY",
"first_name": "JOHN",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN6423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.