Individual provider Active NPI

Laura Lynn Szymanski, DMD

  • Dentist
  • Boyertown, PA
National Provider Identifier
1174625230
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS031347L Issued in PA
Practice address
100 South Chestnut Street
Boyertown, PA 19512-1511
Phone
(610) 367-8005
Fax
(610) 367-2437
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS031347L PA Primary

Addresses

Primary practice location

100 South Chestnut Street
Boyertown, PA 19512-1511

Mailing address

100 South Chestnut Street
Boyertown, PA 19512-1511
Phone (610) 367-8005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160318000075 PA Order and Referring Only - DentistPractitioner - Dentist 8921305947

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS031347LPAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174625230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SOUTH CHESTNUT STREET",
            "city": "BOYERTOWN",
            "state": "PA",
            "postal_code": "195121511",
            "telephone_number": "610-367-8005",
            "fax_number": "610-367-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTH CHESTNUT STREET",
            "city": "BOYERTOWN",
            "state": "PA",
            "postal_code": "195121511",
            "telephone_number": "610-367-8005",
            "fax_number": "610-367-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZYMANSKI",
        "first_name": "LAURA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS031347L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boyertown, PA

Sources for this page

Verify at the official NPI Registry.