Joanne Ly, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901600994 Issued in MI

Practice address

1515 E US Highway 223 Ste G
Adrian, MI 49221-4456

Phone

(517) 264-2700

NPI assigned

Sep 9, 2021

Last updated

May 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Eldib, PLLC

  • General Practice Dentistry
  • Adrian, MI
  • NPI 1437549425
  NPD (past)
• Calderon Dental Group LLC

  • General Practice Dentistry
  • Holland, OH
  • NPI 1336667062
  NPD (past)

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1720757024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E US HIGHWAY 223 STE G",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492214456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E US HIGHWAY 223 STE G",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492214456",
            "telephone_number": "517-264-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10501 Allen Rd",
            "address_purpose": "LOCATION",
            "city": "Allen Park",
            "state": "MI",
            "postal_code": "481011281",
            "country_code": "US",
            "telephone_number": "313-383-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LY",
        "first_name": "JOANNE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lynn Lucey, LLMSW
• Renee Lukas, RPH
• Monica Jane Lutz, PA-C
• Luxottica Retail North America Inc (Sears Optical #C0687)
• Asuncion Q Luz, MD
• Mary Ann Lysaght, CCC-SLP
• M S Chadha MD PC
• Charity Lynn Mack, OTR
• Maya Renee Taylor Mackey
• Rebecca Janess Maddox, DC

• Dentist in Adrian, MI
• Providers in Adrian, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.

Verify at the official NPI Registry.