Active NPI
Lauren Lynne Bedro, DDS
- Dentist
- Lansing, MI
National Provider Identifier
1255062410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901601383
- Practice address
- 601 S Grand Ave
Lansing, MI 48933-2424 - Phone
- (517) 485-1900
- NPI assigned
- Jun 20, 2022
- Last updated
- Jul 12, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901601383 | MI | Primary |
Addresses
Primary practice location
601 S Grand Ave
Lansing, MI 48933-2424
Mailing address
9091 Woodlore South Dr
Plymouth, MI 48170-3499
Phone (734) 748-9162
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 |
|---|---|---|---|
| 2901601383 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1255062410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9091 WOODLORE SOUTH DR",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481703499",
"telephone_number": "734-748-9162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S GRAND AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489332424",
"telephone_number": "517-485-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDRO",
"first_name": "LAUREN",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-20",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901601383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.