Brian Lyngaas, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRIAN LYNGAAS, DDS, PLLC

Practice address

18518 Farmington Rd
Livonia, MI 48152-3232

Phone

(248) 473-0050

Fax

(248) 473-7490

NPI assigned

Oct 28, 2020

Organization subpart

No

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

Authorized official

Name

Denise M Obrien

Title

Practice Manager

Phone

(131) 377-2539

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian J Lyngaas, D.D.S.

  • General Practice Dentistry
  • Livonia, MI
  • NPI 1275545626
  NPD
• Stephen David Crocker, D.D.S.

  • General Practice Dentistry
  • Livonia, MI
  • NPI 1225182942
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1477153526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18518 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523232",
            "telephone_number": "248-473-0050",
            "fax_number": "248-473-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18518 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523232",
            "telephone_number": "248-473-0050",
            "fax_number": "248-473-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN LYNGAAS, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "131-377-2539"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275545626",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Barbara Anne Brick, LLMSW
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• Bright Road Counseling, LLC
• Bright Side Dental

• General Practice Dentistry in Livonia, MI
• Providers in Livonia, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.