Alicia Lyon, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7323 Issued in NE

Practice address

3135 W 22ND St
Kearney, NE 68845-8700

Phone

(308) 440-7895

NPI assigned

Jun 20, 2016

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

Medicare fee-for-service enrollment

Enrolled in NE

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

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1982054052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 5TH ST",
            "address_2": "PO BOX 264",
            "city": "OVERTON",
            "state": "NE",
            "postal_code": "688635377",
            "telephone_number": "308-627-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 W 22ND ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458700",
            "telephone_number": "308-440-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "ALICIA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Luth
• Jessica Lynn Luttrell, LCSW, LMHP
• Kim L Luttrell, MSW
• Von Thomas Lutz, DSW
• Lyon Family Dentistry
• Melody J Lyon, MED AIDE
• M & a Barth, LLC
• M.H. Solutions
• Ma Inc
• Teresa Machnicki, VOCATIONAL SPECIALIS

• General Practice Dentistry in Kearney, NE
• Providers in Kearney, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.