Gayle Y Lundtvedt, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6233 Issued in AZ

Practice address

1993 Frontage Rd
Suite 208
Sierra Vista, AZ 85635-4633

Phone

(520) 458-4646

Fax

(520) 803-0626

NPI assigned

Jul 12, 2006

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

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.

• Gayle Y. Lundtvedt, D.M.D., P.C.

  • Dental Clinic/Center
  • Sierra Vista, AZ
  • NPI 1871644211
  NPD (past) Authorized official
• Canyon Vista Dental

  • General Practice Dentistry
  • Sierra Vista, AZ
  • NPI 1518515212
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1831124239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1993 FRONTAGE RD",
            "address_2": "SUITE 208",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354633",
            "telephone_number": "520-458-4646",
            "fax_number": "520-803-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1993 FRONTAGE RD",
            "address_2": "SUITE 208",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354633",
            "telephone_number": "520-458-4646",
            "fax_number": "520-803-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDTVEDT",
        "first_name": "GAYLE",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Mitch Lowe, PT, DPT
• Ian Lucero
• Lucy Burciaga MD PLLC
• Lisa Marie Luick, RN
• Polly Paccassi Lund, MSW, CSW-I
• Michele Lunow
• Luxottica Retail North America Inc
• M.G. Ramirez, D.D.S., P.C.
• M&F Healthcare Services LLC
• Roxanna Macharigue

• General Practice Dentistry in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.