Active NPI
Lori Lynn Everett, DDS
- Dentist
- Eglin Afb, FL
National Provider Identifier
1689669285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 36919
- Practice address
- 307 Boatner Road Suite 114
Eglin Afb, FL 32534 - Phone
- (850) 883-1110
- NPI assigned
- Sep 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 36919 | CA | Primary |
Addresses
Primary practice location
307 Boatner Road Suite 114
Eglin Afb, FL 32534
Mailing address
307 Boatner Road Suite 114
Eglin Afb, FL 32542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36919 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410825600000",
"number": "1689669285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 BOATNER ROAD SUITE 114",
"city": "EGLIN AFB",
"state": "FL",
"postal_code": "32542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 BOATNER ROAD SUITE 114",
"city": "EGLIN AFB",
"state": "FL",
"postal_code": "32534",
"telephone_number": "850-883-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERETT",
"first_name": "LORI",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2014-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "36919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eglin Afb, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.