Organization Active NPI

Lynn M Dennis Dennis Foot and Ankle Center

  • Primary Podiatric Medicine Podiatrist
  • Lincoln, IL
National Provider Identifier
1699950022
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
016004829 Issued in IL
Legal business name
LYNN M DENNIS DENNIS FOOT AND ANKLE CENTER
Practice address
604 N Union St Ste 2
Lincoln, IL 62656-1578
Phone
(217) 732-9276
Fax
(217) 666-2935
NPI assigned
Jan 3, 2008
Last updated
Jun 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Authorized official

Name
Lynn Marie Dennis, DPMNPI 1972563559
Title
Owner/Podiatrist
Phone
(217) 732-9276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 016004829 IL Primary

Addresses

Primary practice location

604 N Union St Ste 2
Lincoln, IL 62656-1578

Mailing address

604 N Union St Ste 2
Lincoln, IL 62656-1578
Phone (217) 732-9273

National Provider Directory

National Provider Directory

Locations

1001 Clock Tower Dr
Springfield, IL 62704
Phone (217) 787-0212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1699950022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 N UNION ST STE 2",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626561578",
            "telephone_number": "217-732-9273",
            "fax_number": "217-666-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N UNION ST STE 2",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626561578",
            "telephone_number": "217-732-9276",
            "fax_number": "217-666-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN M DENNIS DENNIS FOOT AND ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PODIATRIST",
        "authorized_official_telephone_number": "217-732-9276",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IL",
            "license": "016004829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.