Individual provider Active NPI

Lynnette Martin-Richey

  • Dental Hygienist
  • Dyer, IN
National Provider Identifier
1992118426
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
4673 Issued in AZ
Practice address
1453 Flagstone Dr
Dyer, IN 46311-2294
Phone
(480) 201-3002
NPI assigned
Jun 2, 2014
Last updated
Jun 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 4673 AZ Primary

Addresses

Primary practice location

1453 Flagstone Dr
Dyer, IN 46311-2294

Mailing address

1453 Flagstone Dr
Dyer, IN 46311-2294
Phone (480) 201-3002

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

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1992118426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 FLAGSTONE DR",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463112294",
            "telephone_number": "480-201-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 FLAGSTONE DR",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463112294",
            "telephone_number": "480-201-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-RICHEY",
        "first_name": "LYNNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "AZ",
            "license": "4673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.