Individual provider Active NPI

Kaitlyn Lorton, DMD

  • General Practice Dentistry
  • Cleveland, OH
National Provider Identifier
1114619368
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.027212 Issued in OH
Practice address
17117 Detroit Ave
Cleveland, OH 44107-3622
Phone
(216) 221-0300
NPI assigned
May 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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 30.027212 OH Primary

Addresses

Primary practice location

17117 Detroit Ave
Cleveland, OH 44107-3622

Mailing address

1593 Blossom Park Ave
Lakewood, OH 44107-4436
Phone (216) 702-2977

Other practice location 1

4163 Pearl Rd
Cleveland, OH 44109-3332
Phone (216) 860-0120

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
30.027212OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Dental Group, Jeffrey S Rosenthal DDS Inc General Practice PastSince May 28, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1114619368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1593 BLOSSOM PARK AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074436",
            "telephone_number": "216-702-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17117 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441073622",
            "telephone_number": "216-221-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4163 Pearl Rd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441093332",
            "country_code": "US",
            "telephone_number": "216-860-0120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORTON",
        "first_name": "KAITLYN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.027212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.