Individual provider Active NPI

Nicholas J. Lyons, D.D.S.

  • Dentist
  • Lincoln, NE
National Provider Identifier
1619105509
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2301 Issued in MT
Practice address
40TH and Holdrege Streets
Lincoln, NE 68583
Phone
(406) 720-0523
NPI assigned
Jun 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2301 MT Primary

Addresses

Primary practice location

40TH and Holdrege Streets
Lincoln, NE 68583

Mailing address

40TH and Holdrege Street
Unmc School of Dentistry
Lincoln, NE 68583
Phone (406) 720-0523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090915000536 TX Practitioner - DentistPractitioner - Oral Surgery 1456407592 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
US Health Dept of Health & Human Services Current Accepting new patients

Locations

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1619105509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40TH AND HOLDREGE STREET",
            "address_2": "UNMC SCHOOL OF DENTISTRY",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68583",
            "telephone_number": "406-720-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40TH AND HOLDREGE STREETS",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68583",
            "telephone_number": "406-720-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "NICHOLAS",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "2301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.