Ann Michelle Lyles, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45491 Issued in CA

Practice address

975 Harrison Ave
Campbell, CA 95008-0117

Phone

(408) 871-1964

Fax

(408) 871-7161

NPI assigned

Oct 6, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ann Lyles Macphail Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1902131121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 HARRISON AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080117",
            "telephone_number": "408-871-1964",
            "fax_number": "408-871-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 HARRISON AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080117",
            "telephone_number": "408-871-1964",
            "fax_number": "408-871-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYLES",
        "first_name": "ANN",
        "middle_name": "MICHELLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "MACPHAIL",
            "middle_name": "LYLES",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Teresa Luther, DVM
• Karyn Luu
• Xuan Vinh Vu Luu
• Kevin Ly
• Nancy Lyle, LMFT
• Tracy Ching Ma
• Wenjun Ma
• Reinalyn Macadangdang
• Ioana Codaia Macdougall
• Barton Lee Machado, DDS

• General Practice Dentistry in Campbell, CA
• Providers in Campbell, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.