Individual provider Active NPI

Lauren Elizabeth Standefer, DDS

  • General Practice Dentistry
  • McKinney, TX
National Provider Identifier
1205160132
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24559 Issued in TX
Practice address
2300 Virginia Parkway
McKinney, TX 75071-3504
Phone
(972) 542-8733
Fax
(972) 542-3905
NPI assigned
Sep 24, 2009
Last updated
May 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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 24559 TX Primary

Addresses

Primary practice location

2300 Virginia Parkway
McKinney, TX 75071-3504

Mailing address

2300 Virginia Parkway
McKinney, TX 75071-3504
Phone (972) 542-8733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20151110001474 TX Order and Referring Only - DentistPractitioner - Dentist 3577873207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24559TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Leon Dental General Practice CurrentSince Nov 7, 2025 Accepting new patients
WDW Dental Associates Past Accepting new patients
Lauren E. Standefer, DDS, PA General Practice PastSince May 16, 2022 Accepting new patients

Locations

2300 Virginia Pkwy
McKinney, TX 75071
Phone (372) 542-8733

Organizations & group practices 3

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": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1205160132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 VIRGINIA PARKWAY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750713504",
            "telephone_number": "972-542-8733",
            "fax_number": "972-542-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 VIRGINIA PARKWAY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750713504",
            "telephone_number": "972-542-8733",
            "fax_number": "972-542-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDEFER",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.