Lisa Pyun, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

16082 Issued in MD

Practice address

10203 Tanager LN Ste 101
Columbia, MD 21044-4171

Phone

(443) 896-0002

Fax

(443) 896-0012

NPI assigned

Jun 8, 2016

Last updated

Aug 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tanager Family Dentistry, LLC

  • Dental Clinic/Center
  • Columbia, MD
  • NPI 1902533631
  NPD Authorized official

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1528417797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10203 TANAGER LN STE 101",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444171",
            "telephone_number": "443-896-0002",
            "fax_number": "443-896-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10203 TANAGER LN STE 101",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444171",
            "telephone_number": "443-896-0002",
            "fax_number": "443-896-0012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 N Greene St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011524",
            "country_code": "US",
            "telephone_number": "410-605-7056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5126 Dorsey Hall Dr",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "21042",
            "country_code": "US",
            "telephone_number": "410-740-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PYUN",
        "first_name": "LISA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "16082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Rose Putnam, LCSW-C
• Tatiana Puyo
• Christine Anne Pyers, PT
• Clifford Eugene Pyles, RBT
• Stanley Pyles
• Sheeba Ayoob Qadir
• Zuhayr Qamar
• Yehui Qin, M.D.
• Ashley Romm Quail, DPT
• Qualitech Health Services Inc.

• Dentist in Columbia, MD
• Providers in Columbia, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.