NPIMap

Organization Active NPI

Lynn Oral Surgery Associates Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Lynn, MA
National Provider Identifier
1508096496
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
LYNN ORAL SURGERY ASSOCIATES INC
Practice address
85 Exchange St Ste 102
Lynn, MA 01901-1429
Phone
(781) 592-0222
Fax
(781) 592-0750
NPI assigned
Jul 25, 2009
Last updated
Apr 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Authorized official

Name
George Hatzigiannis, DMD,MDNPI 1386860526
Title
Partner
Phone
(978) 531-1450

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 (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

85 Exchange St Ste 102
Lynn, MA 01901-1429

Mailing address

85 Exchange St Ste 102
Lynn, MA 01901-1429
Phone (781) 592-0222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090928000207 MA Part B Supplier - Clinic/Group Practice 1759437148 Receives reassigned benefits from 9 practitioners
Practice locations: Lynn, MA

National Provider Directory

National Provider Directory

Locations

85 Exchange St
Ste 102
Lynn, MA 01901
Phone (781) 592-0222

6 Essex Center Dr
Ste 112A
Peabody, MA 01960
Phone (781) 323-4345

6 Essex Dr
Ste 112
Peabody, MA 01960
Phone (978) 531-1450

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1248480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1508096496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 EXCHANGE ST STE 102",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011429",
            "telephone_number": "781-592-0222",
            "fax_number": "781-592-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 EXCHANGE ST STE 102",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011429",
            "telephone_number": "781-592-0222",
            "fax_number": "781-592-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN ORAL SURGERY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-25",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "HATZIGIANNIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "978-531-1450",
        "authorized_official_credential": "DMD,MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.