Lauren Sullivan Steddum, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10391 Issued in NC

Practice address

12713 Amoretto Way
Raleigh, NC 27613-6236

Phone

(919) 395-4095

NPI assigned

May 31, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lauren Marie Sullivan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1174971238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12713 AMORETTO WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276136236",
            "telephone_number": "919-395-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12713 AMORETTO WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276136236",
            "telephone_number": "919-395-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEDDUM",
        "first_name": "LAUREN",
        "middle_name": "SULLIVAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "SULLIVAN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stearie, LLC (Stearie)
• Alayna Stebbins, FNP-BC, FNP-C
• Melissa Stebick, LMFT
• Steddum & Steddum, DMD, PLLC (Steddum Family & Restorative Dentistry)
• Christopher Alan Steddum, D.M.D
• Amanda Steed
• Antony Steed
• Emily Steel, LCMHC
• Ann McCollum Steele, CRNA
• Cindy Steele, LPN

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.