JADE LYLES (NPI# 1184856320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184856320 |
| Entity Type | Individual |
| Full Name | JADE LYLES |
| Credential | DMD |
| Practice Address |
8353 Crystal View Rd Eden Prairie MN 55344-7324 |
| Practice Telephone | 9522524000 |
| Mailing Telephone | 9522524000 |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2012-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D13034 | MN | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DN1855297 | MA | Dental Providers |
| Street Address |
8353 CRYSTAL VIEW RD |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55344-7324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366000572 | Hekima Care Inc. | Case Management | 8725 Columbine Rd Unit 46026, Eden Prairie, MN 55344 | 2019-06-03 |
| 1528537768 | Smile Eden Prairie | Dentist | 6600 City W. Pkwy #315, Eden Prairie, MN 55344 | 2018-11-16 |
| 1215439781 | Angelo Scherer | Counselor | 11010 Prairie Lakes Drive Suite 350, Eden Prairie, MN 55344 | 2018-03-01 |
| 1497272678 | Matthew Lynn | Occupational Therapist | 431 Prairie Center Drive, Eden Prairie, MN 55344 | 2017-08-28 |
| 1184178956 | Eric R Barrett | Audiologist | Starkey Center for Excellence, 6700 Washington Ave S, Eden Prairie, MN 55344 | 2016-08-10 |
| 1609218676 | Nations Care Link | Nurse Practitioner | 11000 Praire Lakes Dr, Suite 600, Eden Praire, MN 55344 | 2013-07-19 |
| 1497020390 | Alixa Rx LLC | Pharmacy | 10132 West 76th St, Eden Prairie, MN 55344 | 2012-03-12 |
| 1831467331 | Eagle Ridge Academy | Local Education Agency (LEA) | 7255 Flying Cloud Drive, Eden Prairie, MN 55344 | 2011-12-12 |
| 1205154739 | Eden Prairie School District 272 | Local Education Agency (LEA) | 8100 School Road, Eden Prairie, MN 55344 | 2010-05-07 |
| 1992030613 | Spinal Health | Chiropractor | 12100 Singletree Ln #129, Eden Prairie, MN 55344 | 2009-10-14 |
| Find all providers in zip 55344 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932768157 | Bruce Merry Dds, Pllc | Dentist | 7890 Mitchell Rd, Eden Prairie, MN 55344-2219 | 2019-06-11 |
| 1528537768 | Smile Eden Prairie | Dentist | 6600 City W. Pkwy #315, Eden Prairie, MN 55344 | 2018-11-16 |
| 1578093753 | Melissa Palmieri | Dentist | 13000 Technology Dr Unit 100, Eden Prairie, MN 55344-3606 | 2017-06-19 |
| 1255870531 | Dentists of Eden Prairie, PC | Dentist | 13000 Technology Dr, Suite 110, Eden Prairie, MN 55344-3606 | 2017-02-20 |
| 1063889954 | Sophia Rizzo | Dentist | 11995 Singletree Ln Ste 130, Eden Prairie, MN 55344-5342 | 2015-08-26 |
| 1952460446 | Paul Huyphuoc Thai | Dentist | 18315 Cascade Dr Ste 120, Eden Prairie, MN 55347-1190 | 2006-12-08 |
| 1215009477 | Shiraz Mohammad Asif | Dentist | 8775 Columbine Rd, Eden Prairie, MN 55344-6695 | 2006-11-14 |
| 1598844276 | Judson W Heitner | Dentist | 6608 Flying Cloud Dr, Suite 200, Eden Prairie, MN 55344-3381 | 2006-11-03 |
| 1538275581 | Robert E Derr | Dentist | 7825 Terrey Pine Ct, Eden Prairie, MN 55347-1126 | 2006-08-22 |
| 1487612750 | Annelle Hale Soberay | Dentist | 6203 Dell Rd, Eden Prairie, MN 55346-1122 | 2006-05-03 |
| Find all providers in EDEN PRAIRIE | ||||
| City | EDEN PRAIRIE |
| Zip Code | 55344 |
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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.