Active NPI
Lindsay Lybarger, DDS
- General Practice Dentistry
- Clarksville, TN
National Provider Identifier
1720760325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12288
- Practice address
- 3402 Cainlo Dr Ste 100
Clarksville, TN 37042-0863 - Phone
- (931) 920-0444
- NPI assigned
- Aug 2, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12288 | TN | Primary |
Addresses
Primary practice location
3402 Cainlo Dr Ste 100
Clarksville, TN 37042-0863
Mailing address
2512 Thornton Grove Blvd
Nashville, TN 37207-2223
Phone (574) 268-8982
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 |
|---|---|---|---|
| 12288 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1720760325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2512 THORNTON GROVE BLVD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372072223",
"telephone_number": "574-268-8982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3402 CAINLO DR STE 100",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370420863",
"telephone_number": "931-920-0444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYBARGER",
"first_name": "LINDSAY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-02",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "12288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.