TIMOTHY LYONS (NPI# 1710279419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710279419 |
| Entity Type | Individual |
| Full Name | TIMOTHY LYONS |
| Practice Address |
4420 Town Center Blvd Suite 200 El Dorado Hills CA 95762-7134 |
| Practice Telephone | 9169338820 |
| Mailing Telephone | 9169338820 |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
519968 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235683954 | Timothy Lyons | Counselor | 135 Amelia St, Sutter Creek, CA 95685-9568 | 2016-08-10 |
| 1992723704 | Timothy R. Lyons | Anesthesiology | 1 Elliot Way Ste 200, Manchester, NH 03103-3502 | 2006-07-18 |
| 1912386467 | Timothy Lyons | Physical Therapist | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2015-05-28 |
| 1396019717 | Timothy Patrick Lyons | Counselor | 1851 N Commerce Dr, Nixa, MO 65714-7603 | 2012-03-02 |
| 1720350762 | Timothy James Lyons Jr. | Chiropractor | 110 Bloomfield Ave, Suite B, Caldwell, NJ 07006-5336 | 2012-02-07 |
| 1184825788 | Timothy Roger Lyons | Social Worker | 530 7th St Se, Capitol Hill Center, Washington, DC 20003 | 2007-05-30 |
| 1164636825 | Timothy Lyons | Family Medicine | 2 Myrtle Lane, Hardin, IL 62047 | 2007-05-10 |
| 1417909359 | Timothy C Lyons | Anesthesiology | 10 Woodland Rd, Saint Helena, CA 94574-9554 | 2006-05-17 |
| 1770552796 | Timothy J Lyons | Internal Medicine | 171 Ashley Ave, Charleston, SC 29425-5417 | 2006-03-14 |
| 1477521755 | Timothy Richard Lyons | Nurse Anesthetist, Certified Registered | 200 Lothrop St, Pittsburgh, PA 15213-2546 | 2006-03-10 |
| Street Address |
4420 TOWN CENTER BLVD SUITE 200 |
| City | EL DORADO HILLS |
| State | CA |
| Zip Code | 95762-7134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508136748 | Clark Dental A Professional Dental Corporation | Dentist | 4420 Town Center Blvd, 280, El Dorado Hills, CA 95762-7134 | 2012-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611163 | Melanie Kim Dental Corporation | Dentist | 3381 Bass Lake Rd, Suite 140, El Dorado Hills, CA 95762 | 2020-02-13 |
| 1063042083 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 3383 Bass Lake Rd, El Dorado Hills, CA 95762 | 2020-01-17 |
| 1427557230 | California Joint & Spine, LLC | Clinic/Center | 8135 Saratoga Way, El Dorado Hills, CA 95762 | 2018-02-07 |
| 1871008433 | Claire Maurenn Goss | Psychologist | 5406 Da Vinci Drive, El Dorado Hills, CA 95762 | 2017-12-05 |
| 1275063000 | Melinda Diane Keeler | Marriage & Family Therapist | 1150 Sunfast Lane, 2, El Dorado Hills, CA 95762 | 2017-06-14 |
| 1205379021 | Lauren Marie Shanks Rigsbee | Physical Therapist | 4990 Hillsdale Circle # 100, El Dorado Hills, CA 95762 | 2016-11-28 |
| 1962825935 | Wendy Pickren | Psychologist | 1150 Suncast Lane, Suite 2, El Dorado Hills, CA 95762 | 2014-01-28 |
| 1588087597 | Edwards Everhart Dental | Dentist | 1192 Suncast Lane, Suite 3, El Dorado Hills, CA 95762 | 2014-01-27 |
| 1447694542 | Ksenia Voronina | Psychiatry & Neurology | 1020 Suncast Lane, St 108, El Dorado Hills, CA 95762 | 2013-04-19 |
| 1205188471 | Pirasteh Guity Shafe | Pediatrics | 5001 Gresham Dr, El Dorado Hills, CA 95762 | 2012-10-11 |
| Find all providers in zip 95762 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831332634 | David R. Datwyler | Dentist | 3903 Park Drive, El Dorado Hills, CA 95762 | 2009-04-09 |
| 1932308236 | Michael Bryan Guess | Dentist | 2222 Francisco Dr Ste 450, El Dorado Hills, CA 95762-3779 | 2007-07-16 |
| 1740481589 | Darryl Keith Johnson | Dentist | 1011 Saint Andrews Dr, Suite B, El Dorado Hills, CA 95762-4248 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091720 | Ellen Im Dds Inc | Dentist | 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548 | 2020-10-21 |
| 1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
| 1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
| 1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
| City | EL DORADO HILLS |
| Zip Code | 95762 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.