DR. DENVER JAMES LYONS DDS
NPI 1023539301
Dentist - Periodontics in Richmond, VA
NPI Status: Active since June 27, 2017
Contact Information
4909 GROVE AVE
RICHMOND, VA
ZIP 23226
Phone: (804) 355-6593
Fax: (804) 358-6394
- Individual
- Male
- Dentist
- Periodontics
- Accepts Insurance
- Opted-Out Medicare
About DENVER LYONS
This page provides the complete NPI Profile along with additional information for Denver Lyons, a provider established in Richmond, Virginia with a medical specialization in Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1023539301 assigned on June 2017. The practitioner's primary taxonomy code is 1223P0300X with license number 0442000313 (VA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1023539301
- Provider Name
- DR. DENVER JAMES LYONS DDS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4909 GROVE AVE RICHMOND, VA 23226
- Location Phone
- (804) 355-6593
- Location Fax
- (804) 358-6394
- Mailing Address
- 4909 GROVE AVE RICHMOND, VA 23226
- Mailing Phone
- (804) 355-6593
- Mailing Fax
- (804) 358-6394
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-27-2017
- Last Update Date
- 12-31-2024
- Code Navigator
A dentist like Denver Lyons is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Denver Lyons opted out of Medicare effective on 07-17-2020 until 07-17-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Periodontics
- Taxonomy Code
- 1223P0300X
- Type
- Dental Providers
- License No.
- 0442000313
- License State
- VA
- Taxonomy Description
- That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - Basic - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 07-17-2020
Opt-Out End Date: 07-17-2026
Eligible to Order and Refer? No
Reviews for DR. DENVER JAMES LYONS DDS
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1023539301, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
RICHMOND, VA 23226
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023539301, enumerated as an "individual" on June 27, 2017.
The provider is located at 4909 GROVE AVE RICHMOND, VA 23226 and the phone number is (804) 355-6593.
Dentist with taxonomy code 1223P0300X and a focus in Periodontics.
The provider might be accepting Accepts: Humana. Please consult your insurance carrier or call the provider to verify.
