Individual provider Active NPI

Juergen Lafrenz, D.D.S.

  • General Practice Dentistry
  • Lakewood Ranch, FL
National Provider Identifier
1013975754
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 8058 Issued in FL
Practice address
6320 Venture Dr Ste 102
Lakewood Ranch, FL 34202-5131
Phone
(941) 907-1199
Fax
(941) 907-6611
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11912 MI
General Practice Dentistry 1223G0001X DN 8058 FL Primary

Addresses

Primary practice location

6320 Venture Dr Ste 102
Lakewood Ranch, FL 34202-5131

Mailing address

7207 Oak Moss Dr
Sarasota, FL 34241-6215
Phone (586) 747-9962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN 8058FLMDGeneral Practice Dentistry
11912MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton Township Dental Group Past Accepting new patients
Juergen Lafrenz DDS PLC General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1013975754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7207 OAK MOSS DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342416215",
            "telephone_number": "586-747-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 VENTURE DR STE 102",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025131",
            "telephone_number": "941-907-1199",
            "fax_number": "941-907-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFRENZ",
        "first_name": "JUERGEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "11912",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 8058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.