Individual provider Active NPI

Lauren Elizabeth Seitz, DMD

  • Student in an Organized Health Care Education/Training Program
  • Fond Du Lac, WI
National Provider Identifier
1174363287
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
145 S Marr St Ste 1
Fond Du Lac, WI 54935-4419
Phone
(920) 922-9000
NPI assigned
May 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6001512 WI
Student in an Organized Health Care Education/Training Program 390200000X WI Primary

Addresses

Primary practice location

145 S Marr St Ste 1
Fond Du Lac, WI 54935-4419

Mailing address

6275 County Highway D
Allenton, WI 53002-9711
Phone (262) 483-7725

Other names 1

  • Lauren Elizabeth Vogt Former name

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
6001512WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fond Du Lac Family Dentistry, LLC CurrentSince Jun 2, 2024 Accepting new patients

Locations

145 S Marr St
Ste 1
Fond du Lac, WI 54935
Phone (920) 922-9000

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": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1174363287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6275 COUNTY HIGHWAY D",
            "city": "ALLENTON",
            "state": "WI",
            "postal_code": "530029711",
            "telephone_number": "262-483-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S MARR ST STE 1",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354419",
            "telephone_number": "920-922-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEITZ",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6001512",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "VOGT",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fond Du Lac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.