Organization Active NPI

Lynne G. Halik DDS

  • Pediatric Dentistry
  • Pittsford, NY
National Provider Identifier
1891112207
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0366441 Issued in NY
Legal business name
LYNNE G. HALIK DDS
Practice address
145 Sullys TRL
Pittsford, NY 14534-4561
Phone
(585) 381-2190
NPI assigned
Mar 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Authorized official

Name
Mrs. Sherrie Ivy
Title
Business Manager
Phone
(585) 381-2190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 0366441 NY Primary

Addresses

Primary practice location

145 Sullys TRL
Pittsford, NY 14534-4561

Mailing address

145 Sullys TRL
Pittsford, NY 14534-4561
Phone (585) 381-2190

Other identifiers 1

IdentifierTypeStateIssuer
1942315239MedicaidNY

National Provider Directory

National Provider Directory

Locations

145 Sullys Trl
Pittsford, NY 14534
Phone (585) 381-2190

Practitioners & affiliated clinicians

Practitioners 1

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": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1891112207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SULLYS TRL",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344561",
            "telephone_number": "585-381-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SULLYS TRL",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344561",
            "telephone_number": "585-381-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNNE G. HALIK DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "IVY",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "585-381-2190",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "0366441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942315239",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.