NPIMap

Organization Active NPI

Lynne C. Faxio, DDS, P.C.

  • Dentist
  • Suffolk, VA
National Provider Identifier
1992006449
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LYNNE C. FAXIO, DDS, P.C.
Practice address
2999 Corporate LN
Suite B11
Suffolk, VA 23434-8478
Phone
(757) 934-6040
Fax
(757) 934-6042
NPI assigned
Nov 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Authorized official

Name
Lynne C. Faxio, DDSNPI 1588810139
Title
Owner
Phone
(757) 934-6040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2999 Corporate LN
Suite B11
Suffolk, VA 23434-8478

Mailing address

2999 Corporate LN
Suite B11
Suffolk, VA 23434-8478
Phone (757) 934-6040

National Provider Directory

National Provider Directory

Locations

2999 Corporate Ln
Ste B-11
Suffolk, VA 23434
Phone (757) 934-6040

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1992006449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 CORPORATE LN",
            "address_2": "SUITE B11",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348478",
            "telephone_number": "757-934-6040",
            "fax_number": "757-934-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 CORPORATE LN",
            "address_2": "SUITE B11",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348478",
            "telephone_number": "757-934-6040",
            "fax_number": "757-934-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNNE C. FAXIO, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-14",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "FAXIO",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-934-6040",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.