Hayden Lyons

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30027966 Issued in OH

Practice address

101 S Shannon St
Van Wert, OH 45891-1926

Phone

(419) 238-9980

NPI assigned

May 27, 2025

Sex

Male

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

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1790578300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 BERGAMOT DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458005",
            "telephone_number": "419-733-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S SHANNON ST",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458911926",
            "telephone_number": "419-238-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "HAYDEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30027966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica N Longstreth
• Tamara Lowe
• Loyal Mobility L.L.C.
• Luxottica of America Inc.
• Lyons Anesthesia, Inc.
• Tommy W. Lyons, CRNA
• Melanie Mace
• Kristin Elaine Martin
• Stevee N Martin
• Brittany Mawer, CNP

• General Practice Dentistry in Van Wert, OH
• Providers in Van Wert, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.