Active NPI
Lidia Lilly, DDS, RN
- Dentist
- Franklin, TN
National Provider Identifier
1861003873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS0000011310
- Practice address
- 3050 Cheever St
Franklin, TN 37064-1792 - Phone
- (615) 972-3204
- NPI assigned
- Aug 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS0000011310 | TN | Primary |
Addresses
Primary practice location
3050 Cheever St
Franklin, TN 37064-1792
Mailing address
3050 Cheever St
Franklin, TN 37064-1792
Phone (615) 972-3204
Other names 1
- Dr. Lidia Lyskanowski
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS0000011310 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1861003873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 CHEEVER ST",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370641792",
"telephone_number": "615-972-3204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 CHEEVER ST",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370641792",
"telephone_number": "615-972-3204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLY",
"first_name": "LIDIA",
"name_prefix": "Dr.",
"credential": "DDS, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-12",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS0000011310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LIDIA",
"last_name": "LYSKANOWSKI",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.