Organization Active NPI

Lynsey Lindstrom DDS PC

  • Dentist
  • Palmer, AK
National Provider Identifier
1881099117
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LYNSEY LINDSTROM DDS PC
Doing business as
Palmer Dental Center
Practice address
561 S Denali St
Suite B
Palmer, AK 99645-6464
Phone
(907) 745-8122
Fax
(907) 745-8120
NPI assigned
Oct 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lynsey Lindstrom, DDSNPI 1790003184
Title
Dentist/Owner
Phone
(907) 745-8122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

561 S Denali St
Suite B
Palmer, AK 99645-6464

Mailing address

561 S Denali St
Suite B
Palmer, AK 99645-6464
Phone (907) 745-8122

Other names 1

  • Palmer Dental Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250912000482 AK DME Supplier - Oral Surgery - Dentist 8426551730 Practice locations: Palmer, AK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1881099117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 S DENALI ST",
            "address_2": "SUITE B",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456464",
            "telephone_number": "907-745-8122",
            "fax_number": "907-745-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 S DENALI ST",
            "address_2": "SUITE B",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456464",
            "telephone_number": "907-745-8122",
            "fax_number": "907-745-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNSEY LINDSTROM DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "LINDSTROM",
        "authorized_official_first_name": "LYNSEY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "907-745-8122",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmer Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.