David Brock Lynn Jr., D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

12590 Issued in TX

Practice address

6190 Lyndon B Johnson Fwy
Suite 900
Dallas, TX 75240-6344

Phone

(972) 934-1400

Fax

(972) 934-0195

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. David Brock Lynn Jr. Professional name

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

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Lynn Sleep Wellness Solutions

  • Dentist
  • Dallas, TX
  • NPI 1942668769
  NPD

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639198310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6190 LYNDON B JOHNSON FWY",
            "address_2": "SUITE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406344",
            "telephone_number": "972-934-1400",
            "fax_number": "972-934-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6190 LYNDON B JOHNSON FWY",
            "address_2": "SUITE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406344",
            "telephone_number": "972-934-1400",
            "fax_number": "972-934-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "DAVID",
        "middle_name": "BROCK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "12590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "LYNN",
            "middle_name": "BROCK",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "D.D.S., M.S., P.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lynh T Pham, DDS PA
• Lynh Thy Pham D D S PA
• Lynn K Glover Inc
• Lynn Sleep Wellness Solutions
• Madeline Lauren Lynn-Sidhu, DDS
• Jayda Elizabeth Lynn
• Larry Wade Lynn, M.D.
• Megan Cari Lynn, PSM, RDN, LD
• Melodie Minter Lynn, D.O.
• Octavia Lynn

• Periodontics in Dallas, TX
• Providers in Dallas, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.