Shay Daniels Lykins, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012553 Issued in GA

Practice address

78 River Ter
Ellijay, GA 30540-5502

Phone

(706) 698-3384

Fax

(706) 698-3383

NPI assigned

Jul 15, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1730105396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 RIVER TER",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405502",
            "telephone_number": "706-698-3384",
            "fax_number": "706-698-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 RIVER TER",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405502",
            "telephone_number": "706-698-3384",
            "fax_number": "706-698-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYKINS",
        "first_name": "SHAY",
        "middle_name": "DANIELS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000945865B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alicia S Lovelace
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• Ellen N Luse, RPH
• Kirstin Ainsley Lyons, DC
• Lyonspine Chiropractic LLC
• Carissa Lorraine Markle
• Stephen Clay Marks, LPC
• Michelle F Martin, D.D.S

• General Practice Dentistry in Ellijay, GA
• Providers in Ellijay, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.