Alex Lord Nye, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019031118 Issued in IL

Practice address

1290 Salem Rd SW Ste 10
Rochester, MN 55902-4210

Phone

(507) 216-5863

NPI assigned

May 22, 2017

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630108800000",
    "number": "1871020891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 SYCAMORE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152042",
            "telephone_number": "815-862-2005",
            "fax_number": "815-748-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 SALEM RD SW STE 10",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559024210",
            "telephone_number": "507-216-5863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4312 E Lincolnway Ste A",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "IL",
            "postal_code": "610819793",
            "country_code": "US",
            "telephone_number": "815-564-2307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYE",
        "first_name": "ALEX",
        "middle_name": "LORD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-22",
        "last_updated": "2021-08-28",
        "certification_date": "2021-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019031118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prudence Adlaide Nyamayaro
• Mercy Nyan
• Eunice Fay Nyanamba, CNP
• Patricia L Nyberg, OT
• Scott L. Nyberg, M.D.
• Amanda Nygaard, PT, DPT
• Jonathan M Nyman, PA-C
• Mark Arthur Nyman, M.D.
• Erin Nystrom, PHARMD
• Marcia L O Brien, M.D.

• Dentist in Rochester, MN
• Providers in Rochester, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2021; 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.