Active NPI
Lauren Elizabeth Gritzer, DDS, MPH
- Student in an Organized Health Care Education/Training Program
- Boston, MA
National Provider Identifier
1194464578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 188 Longwood Ave
Boston, MA 02115-5819 - Phone
- (617) 432-1434
- Fax
- (617) 432-4258
- NPI assigned
- Jun 2, 2022
- Last updated
- Jun 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 17847 | MD | |
| Dentist | 122300000X | 04765 | NH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | Primary |
Addresses
Primary practice location
188 Longwood Ave
Boston, MA 02115-5819
Mailing address
707 Parnassus Avenue
D3232, Box 0758
San Francisco, CA 94143
Phone (415) 514-0476
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://hsdm.harvard.edu/harvard-dental-center | ||
| CONNECT URL | lauren.gritzer@ucsf.edu |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 04765 | NH | MD | Dentist |
Interoperability endpoints
- lgritzer301503@direct-ucsfmedicalcenter.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1194464578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 PARNASSUS AVENUE",
"address_2": "D3232, BOX 0758",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94143",
"telephone_number": "415-514-0476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 LONGWOOD AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155819",
"telephone_number": "617-432-1434",
"fax_number": "617-432-4258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRITZER",
"first_name": "LAUREN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DDS, MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-02",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "17847",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NH",
"license": "04765",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://hsdm.harvard.edu/harvard-dental-center",
"affiliation": "N",
"address_1": "188 Longwood Ave",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "021155819",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "lauren.gritzer@ucsf.edu",
"affiliation": "N",
"address_1": "707 Parnassus Ave",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "941432210",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.