Individual provider Active NPI

Lauren Rush, D.D.S

  • General Practice Dentistry
  • Center Line, MI
National Provider Identifier
1205103728
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901020492 Issued in MI
Practice address
6900 E 10 Mile Rd
Center Line, MI 48015-1168
Phone
(586) 467-0980
NPI assigned
Nov 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901020492 MI Primary

Addresses

Primary practice location

6900 E 10 Mile Rd
Center Line, MI 48015-1168

Mailing address

28590 Tavistock TRL
Southfield, MI 48034-5186
Phone (248) 790-5170

Other names 1

  • Dr. Lauren Nikole Rush Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160425002279 MI Practitioner - DentistPractitioner - Oral Surgery 2163721135 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mycare Health Center CurrentSince Mar 20, 2016 Accepting new patients
Mycare Health Center CurrentSince Mar 20, 2016 Accepting new patients

Locations

6800 E 10 Mile Rd
Center Line, MI 48015

6900 E 10 Mile Rd
Center Line, MI 48015
Phone (586) 501-3070

18 Market St
Ste C
Mount Clemens, MI 48043
Phone (586) 783-2222

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10018231

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1205103728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28590 TAVISTOCK TRL",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480345186",
            "telephone_number": "248-790-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 E 10 MILE RD",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151168",
            "telephone_number": "586-467-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-29",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "RUSH",
            "middle_name": "NIKOLE",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Center Line, MI

Sources for this page

Verify at the official NPI Registry.