Joseph Darrell Lyvers, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6045 Issued in KY

Practice address

3448 Taylor Blvd
Louisville, KY 40215-2648

Phone

(502) 367-0571

Fax

(502) 366-6821

NPI assigned

Oct 10, 2005

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1659369148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9925 MELISSA DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232780",
            "telephone_number": "502-429-0665",
            "fax_number": "502-366-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 TAYLOR BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402152648",
            "telephone_number": "502-367-0571",
            "fax_number": "502-366-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYVERS",
        "first_name": "JOSEPH",
        "middle_name": "DARRELL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60060456",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "YB67",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Ryan Lyons, DO
• Samantha Marie Lyons
• Yolonda S Lysle, LPCC
• Isabelle Lytle
• Benjamin Hilton Lyvers
• Megan Marie Lyvers, APRN, FNP-BC
• M C Cronen & Assoc, Inc PSC (TPI Pharmacy)
• M G Carroll,& S P Sheth PTRS (Drs Carroll, Sheth, Raghavan)
• M Joseph Respiratory Services, LLC
• M. C. Cronen & Associates Inc., PSC (The Pain Institute)

• General Practice Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.