Individual provider Active NPI

Garrett Browne Lyons Jr., D.D.S.

  • General Practice Dentistry
  • Montchanin, DE
National Provider Identifier
1568680411
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE0316 Issued in DE
Practice address
100 West Rockland Road
Suite P-1
Montchanin, DE 19710-0295
Phone
(302) 654-1765
Fax
(302) 777-1883
NPI assigned
Apr 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE0316 DE Primary

Addresses

Primary practice location

100 West Rockland Road
Suite P-1
Montchanin, DE 19710-0295

Mailing address

100 West Rockland Road
Suite P-1
Montchanin, DE 19710-0295
Phone (302) 654-1765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150709001758 DE Order and Referring Only - DentistPractitioner - Dentist 4981916590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE0316DEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Garrett B. Lyons D.D.S. P.a. 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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568680411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WEST ROCKLAND ROAD",
            "address_2": "SUITE P-1",
            "city": "MONTCHANIN",
            "state": "DE",
            "postal_code": "197100295",
            "telephone_number": "302-654-1765",
            "fax_number": "302-777-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST ROCKLAND ROAD",
            "address_2": "SUITE P-1",
            "city": "MONTCHANIN",
            "state": "DE",
            "postal_code": "197100295",
            "telephone_number": "302-654-1765",
            "fax_number": "302-777-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "GARRETT",
        "middle_name": "BROWNE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "DE0316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montchanin, DE

Sources for this page

Verify at the official NPI Registry.