Active NPI
Lauren Paul Dean, DMD
- Pediatric Dentistry
- Rock Hill, SC
National Provider Identifier
1083054795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 8525
- Practice address
- 1236 Ebenezer Rd
Rock Hill, SC 29732-3390 - Phone
- (803) 548-2333
- NPI assigned
- Jun 26, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6058 | AL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Dentistry | 1223P0221X | 8525 | SC | Primary |
Addresses
Primary practice location
1236 Ebenezer Rd
Rock Hill, SC 29732-3390
Mailing address
125 Windsor Dr
Birmingham, AL 35209-4333
Phone (205) 540-4970
Other practice location 1
2301 Moody Pkwy
Suite 9
Moody, AL 35004-3012
Phone (205) 640-0145
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZX8525 | Medicaid | SC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8525 | SC | MD | Mental Health Counselor |
| 6058 | AL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redmond Dental, Inc. | Past | Accepting new patients | |
| Red Mountain Pediatric Dentistry | 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.
-
- Dental Clinic/Center
- Birmingham, AL
- NPI 1952934226
-
- General Practice Dentistry
- Moody, AL
- NPI 1003162389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554854400000",
"number": "1083054795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 WINDSOR DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352094333",
"telephone_number": "205-540-4970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1236 EBENEZER RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297323390",
"telephone_number": "803-548-2333"
}
],
"practiceLocations": [
{
"address_1": "2301 Moody Pkwy",
"address_2": "Suite 9",
"address_purpose": "LOCATION",
"city": "Moody",
"state": "AL",
"postal_code": "350043012",
"country_code": "US",
"telephone_number": "205-640-0145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEAN",
"first_name": "LAUREN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-26",
"last_updated": "2019-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "6058",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "SC",
"license": "8525",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZX8525",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.