John Lawrence Lytle, M.D., D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

35426 Issued in CA

Practice address

1370 Foothill Blvd
Suite 200
La Canada, CA 91011-2150

Phone

(818) 952-8183

Fax

(818) 952-6437

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Feb 2, 2018 through Feb 2, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Lytle, Tate & Stamper, a Dental Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • La Canada, CA
  • NPI 1013126648
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801992086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 FOOTHILL BLVD",
            "address_2": "SUITE 200",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112150",
            "telephone_number": "818-952-8183",
            "fax_number": "818-952-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 FOOTHILL BLVD",
            "address_2": "SUITE 200",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112150",
            "telephone_number": "818-952-8183",
            "fax_number": "818-952-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYTLE",
        "first_name": "JOHN",
        "middle_name": "LAWRENCE",
        "credential": "M.D., D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "35426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Cherise Low, DDS
• Rose Ellen Lozano, MARRIAGE AND FAMILY
• Sarena Lu, PT, DPT
• Erin Henschen Lynch, PSY.D.
• John James Lytle, M.D., D.D.S.
• Robert James Lytle, D.D.S.
• Lytle, Tate & Stamper, a Dental Corporation
• Laura E Mabie, MD
• Man OT
• Shakeh A Mazmanian, MD

• Oral and Maxillofacial Surgery (Dentist) in La Canada, CA
• Providers in La Canada, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.