Active NPI
Lauren Michelle Feuerstein, DDS
- Pediatric Dentistry
- Rockford, MI
National Provider Identifier
1194354480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 2901601351
- Practice address
- 170 Marcell Dr NE
Rockford, MI 49341-1300 - Phone
- (616) 884-5812
- NPI assigned
- Apr 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12013377A | IN | |
| Pediatric Dentistry | 1223P0221X | 2901601351 | MI | Primary |
Addresses
Primary practice location
170 Marcell Dr NE
Rockford, MI 49341-1300
Mailing address
6369 Venture Hills Blvd SW
Byron Center, MI 49315-7600
Phone (616) 626-5024
Other practice location 1
2000 43rd St SE
Grand Rapids, MI 49508-8700
Phone (616) 455-1301
Other practice location 2
6369 Venture Hills Blvd SW
Byron Center, MI 49315-7600
Phone (616) 626-5024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200609000568 | IN | Order and Referring Only - Dentist | 1951722487 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901601351 | MI | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1194354480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6369 VENTURE HILLS BLVD SW",
"city": "BYRON CENTER",
"state": "MI",
"postal_code": "493157600",
"telephone_number": "616-626-5024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 MARCELL DR NE",
"city": "ROCKFORD",
"state": "MI",
"postal_code": "493411300",
"telephone_number": "616-884-5812"
}
],
"practiceLocations": [
{
"address_1": "2000 43rd St SE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495088700",
"country_code": "US",
"telephone_number": "616-455-1301",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6369 Venture Hills Blvd SW",
"address_purpose": "LOCATION",
"city": "Byron Center",
"state": "MI",
"postal_code": "493157600",
"country_code": "US",
"telephone_number": "616-626-5024",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEUERSTEIN",
"first_name": "LAUREN",
"middle_name": "MICHELLE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-07",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12013377A",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MI",
"license": "2901601351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.