Lynn Susan Farley, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8509 Issued in CO

Practice address

6900 Alden Dr
BLDG 160
Cheyenne, WY 82005-3906

Phone

(307) 773-1846

Fax

(307) 773-3399

NPI assigned

Aug 23, 2006

Last updated

Aug 16, 2012By the provider in NPPES

Sex

Female

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 FL

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

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1699882233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 COTTAGE LN",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820016788",
            "telephone_number": "303-229-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 ALDEN DR",
            "address_2": "BLDG 160",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820053906",
            "telephone_number": "307-773-1846",
            "fax_number": "307-773-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "LYNN",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Vision Center PC
• Alexis Shante' Fanning
• Harry Paul Fanning, D.D.S.
• Alexis Fanshier
• Erica Farley, OTRL
• Sharon Farner
• Tessa M Farr, MSW
• Holly Ann Farrar, PTA
• Arthur J Farrell, PAC
• Tracy A Farrell, MSPT

• General Practice Dentistry in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• General Practice Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.