Lysandro O. Tapnio DMD PA

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

DN10175 Issued in FL

Legal business name

LYSANDRO O. TAPNIO DMD PA

Doing business as

Beacon Family Dentistry

Practice address

9272 Arlington Expy
Jacksonville, FL 32225-8212

Phone

(904) 641-0944

Fax

(904) 642-2999

NPI assigned

Dec 11, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Leah Martin

Title

Office Manager

Phone

(904) 641-0944

Specialties & licenses 1

Addresses

Other names 1

• Beacon Family Dentistry Doing business as

Practitioners 1

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

• Lysandro Ordonez Tapnio, DMD, PA

  • Dentist
  • Jacksonville, FL
  • NPI 1083880660
  NPD (past)

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1609241918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9272 ARLINGTON EXPY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258212",
            "telephone_number": "904-641-0944",
            "fax_number": "904-642-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9272 ARLINGTON EXPY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258212",
            "telephone_number": "904-641-0944",
            "fax_number": "904-642-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYSANDRO O. TAPNIO DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "904-641-0944",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "DN10175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beacon Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mead Lyons, DMD
• Naya Margaret Lyons, DPT
• Shenaye Lyons, ARNP
• Lysal Enterprises, Inc.
• Lysal Prof. MKTG. & Home Healthcare Mngmt. Group Inc
• Lysandro O. Tapnio DMD PA (Beacon Family Dentistry)
• Sydnie Lee Lytle, PA-C
• Megan Lytus, DO
• M & M Rehab Inc
• M Nan Jobson PA

• Preferred Provider Organization in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.