Active NPI
Sarah Lyden, DDS
- Dentist
- Fallston, MD
National Provider Identifier
1710180427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14043
- Practice address
- 2300 Bel Air Rd
Fallston, MD 21047-2749 - Phone
- (410) 493-4987
- NPI assigned
- Jun 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 043467 | PA | |
| General Practice Dentistry | 1223G0001X | 150561 | NC | |
| Dentist | 122300000X | 14043 | MD | Primary |
Addresses
Primary practice location
2300 Bel Air Rd
Fallston, MD 21047-2749
Mailing address
33 Centennial St
Frostburg, MD 21532-1205
Phone (410) 493-4987
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 |
|---|---|---|---|
| 043467 | PA | MD | Dentist |
| 150561 | NC | MD | General Practice Dentistry |
| 14043 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1710180427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 CENTENNIAL ST",
"city": "FROSTBURG",
"state": "MD",
"postal_code": "215321205",
"telephone_number": "410-493-4987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 BEL AIR RD",
"city": "FALLSTON",
"state": "MD",
"postal_code": "210472749",
"telephone_number": "410-493-4987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYDEN",
"first_name": "SARAH",
"name_prefix": "Miss",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "043467",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "150561",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "14043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fallston, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.