Active NPI
John Thomas Lynch, DMD
- General Practice Dentistry
- Middletown, NY
National Provider Identifier
1891888202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 044632
- Practice address
- 22 Mulberry St
Suite 1B
Middletown, NY 10940-5741 - Phone
- (845) 343-6908
- Fax
- (845) 343-5850
- NPI assigned
- Sep 30, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 044632 | NY | Primary |
Addresses
Primary practice location
22 Mulberry St
Suite 1B
Middletown, NY 10940-5741
Mailing address
22 Mulberry St
Suite 1B
Middletown, NY 10940-5741
Phone (845) 343-6908
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044632 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891888202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 MULBERRY ST",
"address_2": "SUITE 1B",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109405741",
"telephone_number": "845-343-6908",
"fax_number": "845-343-5850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 MULBERRY ST",
"address_2": "SUITE 1B",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109405741",
"telephone_number": "845-343-6908",
"fax_number": "845-343-5850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "JOHN",
"middle_name": "THOMAS",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "044632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.