Individual provider Active NPI

Lauren Andler, DMD

  • Endodontics
  • Boston, MA
National Provider Identifier
1114543097
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN1858760 Issued in MA
Practice address
21 Father Francis Gilday St Apt 407
Boston, MA 02118-5104
Phone
(781) 864-4713
NPI assigned
Jun 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN1858760 MA Primary

Addresses

Primary practice location

21 Father Francis Gilday St Apt 407
Boston, MA 02118-5104

Mailing address

21 Father Francis Gilday St Apt 407
Boston, MA 02118-5104
Phone (781) 864-4713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201208001825 MA Order and Referring Only - DentistPractitioner - Dentist 8729490206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1858760MAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1114543097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 FATHER FRANCIS GILDAY ST APT 407",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021185104",
            "telephone_number": "781-864-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 FATHER FRANCIS GILDAY ST APT 407",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021185104",
            "telephone_number": "781-864-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDLER",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2022-11-02",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "DN1858760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.