Active NPI
Lorelei E Claiborne, D.D.S
- Public Health Dentistry
- Detroit, MI
National Provider Identifier
1083604276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 2901015933
- Practice address
- 5635 W Fort St
Detroit, MI 48209-3154 - Phone
- (313) 849-3920
- Fax
- (313) 849-0824
- NPI assigned
- Oct 27, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 2901015933 | MI | Primary |
Addresses
Primary practice location
5635 W Fort St
Detroit, MI 48209-3154
Mailing address
5635 W Fort St
Detroit, MI 48209-3154
Phone (313) 849-3920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2915665 | Medicaid | MI |
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 |
|---|---|---|---|
| 2901015933 | MI | MD | Public Health Dentist |
Interoperability endpoints
- lclaiborne626818@direct.hfhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1083604276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5635 W FORT ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482093154",
"telephone_number": "313-849-3920",
"fax_number": "313-849-0824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5635 W FORT ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482093154",
"telephone_number": "313-849-3920",
"fax_number": "313-849-0824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAIBORNE",
"first_name": "LORELEI",
"middle_name": "E",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "MI",
"license": "2901015933",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2915665",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.