Individual provider Active NPI

Carol Ann Lorente, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Bedford, MA
National Provider Identifier
1003898008
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
14505 Issued in MA
Practice address
Bedford VA Hospital
Dental Dept., Mailstop 160, 200 Springs Rd.
Bedford, MA 01730
Phone
(781) 687-2469
Fax
(781) 687-3967
NPI assigned
Nov 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 14505 MA Primary

Addresses

Primary practice location

Bedford VA Hospital
Dental Dept., Mailstop 160, 200 Springs Rd.
Bedford, MA 01730

Mailing address

Bedford VA Hospital
Dental Dept., Mailstop 160, 200 Springs Rd.
Bedford, MA 01730
Phone (781) 687-2469

Other identifiers 2

IdentifierTypeStateIssuer
X04567OtherBCBS
794892OtherTUFTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130205000429 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8729063144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1003898008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BEDFORD VA HOSPITAL",
            "address_2": "DENTAL DEPT., MAILSTOP 160, 200 SPRINGS RD.",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "01730",
            "telephone_number": "781-687-2469",
            "fax_number": "781-687-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BEDFORD VA HOSPITAL",
            "address_2": "DENTAL DEPT., MAILSTOP 160, 200 SPRINGS RD.",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "01730",
            "telephone_number": "781-687-2469",
            "fax_number": "781-687-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENTE",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MA",
            "license": "14505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "X04567",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "794892",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, MA

Sources for this page

Verify at the official NPI Registry.