Active NPI
Lyndsay Park
- Dentist
- Weymouth, MA
National Provider Identifier
1902486897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1859471
- Practice address
- 851 Main St Ste 8
Weymouth, MA 02190-1613 - Phone
- (781) 660-7800
- NPI assigned
- Apr 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | DN1859471 | MA | Primary |
Addresses
Primary practice location
851 Main St Ste 8
Weymouth, MA 02190-1613
Mailing address
851 Main St Ste 8
Weymouth, MA 02190-1613
Other practice location 1
514 49th St
Brooklyn, NY 11220-2010
Phone (718) 431-2600
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1859471 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspire Dental Health LLC | Single Specialty | Current | Accepting new patients |
Locations
851 Main St
Ste 8
Weymouth, MA 02190
Phone (781) 660-7800
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- South Weymouth, MA
- NPI 1669026969
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1902486897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 MAIN ST STE 8",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021901613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 MAIN ST STE 8",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021901613",
"telephone_number": "781-660-7800"
}
],
"practiceLocations": [
{
"address_1": "514 49th St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112202010",
"country_code": "US",
"telephone_number": "718-431-2600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARK",
"first_name": "LYNDSAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-13",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1859471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.