Active NPI
Lynne G Halik, D.D.S.
- Pediatric Dentistry
- Pittsford, NY
National Provider Identifier
1942315239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 036644-1
- Practice address
- 145 Sullys TRL
Pittsford, NY 14534-4561 - Phone
- (585) 381-2190
- Fax
- (585) 381-2198
- NPI assigned
- Aug 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 036644-1 | NY | Primary |
Addresses
Primary practice location
145 Sullys TRL
Pittsford, NY 14534-4561
Mailing address
26 Bridgewood Dr
Fairport, NY 14450-2654
Phone (585) 223-5214
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01631341 | Medicaid | NY |
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 |
|---|---|---|---|
| 036644-1 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lynne G. Halik DDS | Pediatric Dentistry | Current | Accepting new patients |
Locations
145 Sullys Trl
Pittsford, NY 14534
Phone (585) 381-2190
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.
-
- Pediatric Dentistry
- Pittsford, NY
- NPI 1891112207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620518400000",
"number": "1942315239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 BRIDGEWOOD DR",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144502654",
"telephone_number": "585-223-5214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 SULLYS TRL",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145344561",
"telephone_number": "585-381-2190",
"fax_number": "585-381-2198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALIK",
"first_name": "LYNNE",
"middle_name": "G",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2021-05-09",
"certification_date": "2021-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "036644-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01631341",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.