NPIMap

Lynn Oral Surgery Associates Inc

Organization Active NPI Oral and Maxillofacial Surgery (Dentist) · Lynn, MA

NPI 1508096496 · NPPES record last updated Apr 13, 2010

Key facts

NPI
1508096496
Entity type
Organization (NPI type 2)
Primary specialty
Oral and Maxillofacial Surgery (Dentist) 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
Organization subpart
No

Authorized official

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

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 19

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Medicare enrollment records

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

Locations

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)
Group: 193400000X SINGLE SPECIALTY GROUP		 1223S0112X Yes

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 13, 2010.

{
    "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

All providers in Lynn, MA · Oral and Maxillofacial Surgery (Dentist) in Massachusetts

Sources for this page

Verify at the official NPI Registry.