Shelley Ann Lyle DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

014131 Issued in MO

Legal business name

SHELLEY ANN LYLE DDS PC

Practice address

3111 Keene CT
Columbia, MO 65201-6639

Phone

(573) 442-1869

Fax

(573) 442-4165

NPI assigned

Apr 30, 2008

Last updated

Apr 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shelley Ann Lyle, DDSNPI 1215951835

Title

Ceo

Phone

(573) 442-1869

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shelley Ann Lyle, DDS

  • General Practice Dentistry
  • Columbia, MO
  • NPI 1215951835
  NPD (past) Authorized official
• Molly Elizabeth Tegerdine, D.D.S

  • Dentist
  • Columbia, MO
  • NPI 1780017889
  NPD (past)

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1497921423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 KEENE CT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016639",
            "telephone_number": "573-442-1869",
            "fax_number": "573-442-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 KEENE CT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016639",
            "telephone_number": "573-442-1869",
            "fax_number": "573-442-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLEY ANN LYLE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "LYLE",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-442-1869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "014131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lena-Frances Sheets
• Lincoln Ralph Sheets, M.D.
• Marsha Ann Sheffield, LPC
• Stephen John Sheinkopf, PHD
• Mary J Shellabarger, ACNS
• Shelley Williams O.D., P.C. (Williams & hussey Eyecare/ Eyedentity eyewear)
• Laurie Ann Shellhart, FNP-BC
• Shelly M Ossana PHD LLC
• Sheltering Arms Day Center
• Darian Shelton

• Dentist in Columbia, MO
• Providers in Columbia, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.

Verify at the official NPI Registry.