Individual provider Active NPI

Steven Harold Lorentzen, DDS

  • General Practice Dentistry
  • Golden Valley, MN
National Provider Identifier
1073735627
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9101 Issued in MN
Practice address
5500 Wayzata Blvd
#920
Golden Valley, MN 55416-1248
Phone
(763) 540-0101
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 D9101 MN Primary

Addresses

Primary practice location

5500 Wayzata Blvd
#920
Golden Valley, MN 55416-1248

Mailing address

5500 Wayzata Blvd
#920
Golden Valley, MN 55416-1248
Phone (763) 540-0101

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
D9101MNMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073735627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 WAYZATA BLVD",
            "address_2": "#920",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554161248",
            "telephone_number": "763-540-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 WAYZATA BLVD",
            "address_2": "#920",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554161248",
            "telephone_number": "763-540-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENTZEN",
        "first_name": "STEVEN",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D9101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.