Individual provider Active NPI

Lynn Renee Chincheck, D.D.S.

  • General Practice Dentistry
  • Timonium, MD
National Provider Identifier
1780720615
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9097 Issued in MD
Practice address
9475 Deereco Rd
Suite 402
Timonium, MD 21093-2118
Phone
(410) 561-8845
Fax
(410) 561-2034
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9097 MD Primary

Addresses

Primary practice location

9475 Deereco Rd
Suite 402
Timonium, MD 21093-2118

Mailing address

13 Ruffed Grouse CT
Towson, MD 21286-1669
Phone (410) 337-2874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150427001100 MD Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7214256106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lynn R Chincheck, DDS PastSince Jul 17, 2017 Accepting new patients
Shriram Dental LLC PastSince May 18, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780720615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 RUFFED GROUSE CT",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212861669",
            "telephone_number": "410-337-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 DEERECO RD",
            "address_2": "SUITE 402",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932118",
            "telephone_number": "410-561-8845",
            "fax_number": "410-561-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINCHECK",
        "first_name": "LYNN",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "9097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

Verify at the official NPI Registry.