Lacy Lynn Gilbert, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN18274 Issued in FL

Practice address

23451 Walden Center Dr
Suite 100
Bonita Springs, FL 34134-4919

Phone

(239) 948-2111

Fax

(239) 948-2155

NPI assigned

Jul 20, 2009

Last updated

Dec 6, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Lacy Lynn Holzinger Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pelican Landing Dental PLLC

  • Dentist
  • Bonita Springs, FL
  • NPI 1730488222
  NPD (past)

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1922238393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27695 BAY POINT LN",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341343917",
            "telephone_number": "239-218-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23451 WALDEN CENTER DR",
            "address_2": "SUITE 100",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344919",
            "telephone_number": "239-948-2111",
            "fax_number": "239-948-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "LACY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACY",
            "last_name": "HOLZINGER",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• General and Implant Dentistry at the Landing
• Genesiscare USA of Florida LLC (21C Pharmacy)
• Genics Behavioral Health Psychiatry LLC
• Teresa Estelle Ghafoori
• Gianetti Chiropractic Center P.a.
• Richard C. Gilbert, DMD
• Blandine Gilloteaux
• Cynthia Gilmour, FNP
• Madelyn Giroud, PHARMACIST
• Giuseppe Guaitoli, M.D., P.a.

• General Practice Dentistry in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.