Scott Wilson Lyke, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

1293 Issued in AK

Practice address

121 W Fireweed LN Ste 280
Anchorage, AK 99503-2035

Phone

(907) 258-7060

Fax

(907) 222-1665

NPI assigned

Oct 23, 2007

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

Medicare fee-for-service enrollment

Enrolled in AK

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

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.

• Resl LLC

  • Dental Clinic/Center
  • Anchorage, AK
  • NPI 1386232015
  NPD Authorized official
• Aurora Family Dentistry

  • Dental Clinic/Center
  • Anchorage, AK
  • NPI 1770829988
  NPD (past) Authorized official

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1659560969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W FIREWEED LN STE 280",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032035",
            "telephone_number": "907-258-7060",
            "fax_number": "907-222-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W FIREWEED LN STE 280",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032035",
            "telephone_number": "907-258-7060",
            "fax_number": "907-222-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYKE",
        "first_name": "SCOTT",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-23",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "1293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Ly, LPN
• Jeanette Nmi Lyerly, LMSW
• Heidi A Lyke
• Jaimie M Lyke, DMD
• Nicole Lyke
• Lesley Lyman, M.A., CCC-SLP
• Stella Lyn, CPM, CDM, CLC, LDM
• Jonathan Lynch
• Lynnes Home Care
• Cathal Lyons, PT

• Dentist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Dentist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.