Individual provider Active NPI

Lynn A Seewald

  • Dental Hygienist
  • Canandaigua, NY
National Provider Identifier
1518246867
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
025508-1 Issued in NY
Practice address
325 S Main St
Canandaigua, NY 14424-2118
Phone
(585) 919-0267
NPI assigned
Aug 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 025508-1 NY Primary

Addresses

Primary practice location

325 S Main St
Canandaigua, NY 14424-2118

Mailing address

21 Jefferson CT
Fairport, NY 14450-2201
Phone (585) 613-6889

Other names 1

  • Lynn A Bacha Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
025508-1NYMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Aharon Ernan DMD PC 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": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1518246867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 JEFFERSON CT",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144502201",
            "telephone_number": "585-613-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S MAIN ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144242118",
            "telephone_number": "585-919-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEWALD",
        "first_name": "LYNN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "025508-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "BACHA",
            "middle_name": "A",
            "credential": "RDH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Canandaigua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.