Individual provider Active NPI

Lauren Crawford Weant, DMD

  • General Practice Dentistry
  • Norcross, GA
National Provider Identifier
1023662194
Registry record updated Jul 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN015916 Issued in GA
Practice address
3850 Holcomb Bridge Rd Ste 200
Norcross, GA 30092-5223
Phone
(770) 447-5311
NPI assigned
Jul 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN015916 GA Primary

Addresses

Primary practice location

3850 Holcomb Bridge Rd Ste 200
Norcross, GA 30092-5223

Mailing address

4965 Phillip Creek LN
Sugar Hill, GA 30518-7898

Other identifiers 1

IdentifierTypeStateIssuer
DN015916OtherGADENTAL LICENSE NUMBER

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
DN015916GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1564272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564272000000",
    "number": "1023662194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4965 PHILLIP CREEK LN",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305187898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 HOLCOMB BRIDGE RD STE 200",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300925223",
            "telephone_number": "770-447-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEANT",
        "first_name": "LAUREN",
        "middle_name": "CRAWFORD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-28",
        "last_updated": "2019-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NUMBER",
            "identifier": "DN015916",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2019; 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.