Jess Andrew Lynn

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6173 Issued in LA

Practice address

206 North Thomson
Iowa, LA 70647

Phone

(337) 582-7225

NPI assigned

Jun 10, 2011

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 LA

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

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.

• Charlie Buller III DDS

  • Dentist
  • Iowa, LA
  • NPI 1255629390
  NPD (past)

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1689969313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1179",
            "city": "IOWA",
            "state": "LA",
            "postal_code": "706471179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 NORTH THOMSON",
            "city": "IOWA",
            "state": "LA",
            "postal_code": "70647",
            "telephone_number": "337-582-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "JESS",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iowa Therapy Group LLC
• Lake Charles Medical Services, Inc
• Ciera Leboeuf, M.ED., PLPC
• Kenneth W. Leger, MD
• Samantha Gueringer Lilley, DNP, APRN, FNP-BC
• Darren Miller, P.D.
• Jaylin Barkley Miller, DNP, APRN, FNP-C
• Laureal L Miller, L.O.T.R
• New Century Health AIDS and Equipment
• Chivonne Ashley Pierre-Williams, APRN, FNP-C

• All providers in Iowa, LA
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.