Lynn E Gassoway, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12007149 Issued in IN

Practice address

8412 Maple Ave
Gary, IN 46403

Phone

(219) 938-2875

Fax

(216) 938-2875

NPI assigned

Sep 20, 2006

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

• Mrs. Lynn E Reichle Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Lynn E Gassoway,DDS,Inc

  • Dental Clinic/Center
  • Gary, IN
  • NPI 1104039510
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962500298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8412 MAPLE AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "46403",
            "telephone_number": "219-938-2875",
            "fax_number": "216-938-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8412 MAPLE AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "46403",
            "telephone_number": "219-938-2875",
            "fax_number": "216-938-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASSOWAY",
        "first_name": "LYNN",
        "middle_name": "E",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "REICHLE",
            "middle_name": "E",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gary Health Department
• Gary Neighborhood Services
• Gary Pediatric & Family Dentistry
• Gary Smiles Youth Dentistry, LLC
• Ashley Gaskins, DT-C
• Sandra R Gates-Manna, NP
• Genoa Healthcare LLC
• Genoa Healthcare LLC
• Gene George
• James Tan Geulen Jr., RPT

• General Practice Dentistry in Gary, IN
• Providers in Gary, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.