Michael Lysonski DDS LLC

Michael Lysonski DDS LLC is a healthcare organization registered as General Practice Dentistry in Edgewood, NM, holding Type 2 (organization) NPI 1427513902 since 2019. The authorized official on file is Michael Lysonski, Dr..

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NPI	1427513902
Entity type	Organization (Type 2)
Legal business name	Michael Lysonski DDS LLC
Practice address	1917 OLD US 66, SUITE B-C-D1, Edgewood, NM, 87015
Phone	2623916179
Enumeration date	2019-02-08
Last updated in NPPES	2023-03-07

Authorized official

Name	Michael Lysonski
Title	Dr.
Phone	2623916179

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
1223G0001X	General Practice Dentistry	Primary	—	—

Other identifiers

Identifier	Type	State	Issuer
17933030	Medicaid	NM	—
DD4113	Other	NM	NM DENTAL LICENSE
03-426588-00-0	Other	NM	NMCRS
CS00220539	Other	NM	NM CONTROLLED SUBSTANCE

Copy-ready billing details

Provider: Michael Lysonski DDS LLC
NPI: 1427513902
Taxonomy: 1223G0001X (General Practice Dentistry)
Address: 1917 OLD US 66, SUITE B-C-D1, Edgewood, NM, 87015

Providers at this address

NPI	Name	Type	Specialty	Location
1871934034	Elizabeth Christensen	Individual	Massage Therapist	Edgewood, NM

Verify this record

Cross-check NPI 1427513902 against the authoritative CMS record: view Michael Lysonski DDS LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Michael Lysonski DDS LLC located?

The practice location on file with NPPES is in Edgewood, NM.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-03-07. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-03-07.