Active NPI
Delores Lynch
- Orthotic Fitter
- Swansea, MA
National Provider Identifier
1811098684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- License
- 21973
- Practice address
- 1211 Gar Hwy
Swansea, MA 02777 - Phone
- (508) 674-3800
- Fax
- (508) 675-9745
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | 21973 | MA | Primary |
| Orthotic Fitter | 225000000X | CFM00962 | MA |
Addresses
Primary practice location
1211 Gar Hwy
Swansea, MA 02777
Mailing address
1211 Gar Hwy
Swansea, MA 02777
Phone (508) 674-3800
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DS24649 | Medicaid | RI | |
| 1538411 | Medicaid | MA | |
| 382454 | Other | MA | BCBS |
| 78568 | Other | RI | BCBS |
| 645163 | Other | HARVARD PILGRIM |
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 |
|---|---|---|---|
| 21973 | MA | MD | Orthotic Fitter |
| CFM00962 | MA | MD | Orthotic Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811098684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 GAR HWY",
"city": "SWANSEA",
"state": "MA",
"postal_code": "02777",
"telephone_number": "508-674-3800",
"fax_number": "508-675-9745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 GAR HWY",
"city": "SWANSEA",
"state": "MA",
"postal_code": "02777",
"telephone_number": "508-674-3800",
"fax_number": "508-675-9745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "DELORES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "MA",
"license": "21973",
"primary": true
},
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "MA",
"license": "CFM00962",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DS24649",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1538411",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "382454",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "78568",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "645163",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Swansea, MA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.