NPIMap

Individual provider Active NPI

Kristie Lynn Engler-Lynaugh, DDS

  • Dentist
  • Akron, OH
National Provider Identifier
1932495207
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30-023730 Issued in OH
Practice address
1400 S Arlington St Unit 38
Akron, OH 44306-3771
Phone
(330) 724-5471
NPI assigned
Jun 24, 2011
Last updated
Nov 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30-023730 OH Primary

Addresses

Primary practice location

1400 S Arlington St Unit 38
Akron, OH 44306-3771

Mailing address

PO Box 933132
Cleveland, OH 44193-0001
Phone (330) 724-5471

Other practice location 1

1400 S Arlington St Unit 38
Akron, OH 44306-3771
Phone (888) 975-9188

Other names 1

  • Dr. Kristie Lynn Engler Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150701002105 OH Order and Referring Only - DentistPractitioner - Dentist 2163734237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-023730OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Axess Family Services Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vikil.girdhar@api.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Axess Family Services IncAkron, OH, CCN 361860 Federally qualified health center Corporate Director Jul 6, 2022
Axess Family Services IncKent, OH, CCN 361939 Federally qualified health center Corporate Director
W-2 Managing Employee		 Jul 6, 2022
Jul 6, 2022
Axess Family Services IncBarberton, OH, CCN 361013 Federally qualified health center Corporate Director Jul 6, 2022
Axess Family Services IncAkron, OH, CCN 361062 Federally qualified health center Corporate Director Jul 6, 2022

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1932495207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933132",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930001",
            "telephone_number": "330-724-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S ARLINGTON ST UNIT 38",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443063771",
            "telephone_number": "330-724-5471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 S Arlington St Unit 38",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443063771",
            "country_code": "US",
            "telephone_number": "888-975-9188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGLER-LYNAUGH",
        "first_name": "KRISTIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-023730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIE",
            "last_name": "ENGLER",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.