Individual provider Active NPI

Lauryl E Lepak-Krumm, DDS

  • Dentist
  • Commerce, MI
National Provider Identifier
1255357216
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901016083 Issued in MI
Practice address
8910 Commerce Rd
Commerce, MI 48382
Phone
(248) 363-3228
Fax
(248) 363-6825
NPI assigned
Jul 14, 2006
Last updated
Oct 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901016083 MI Primary

Addresses

Primary practice location

8910 Commerce Rd
Commerce, MI 48382

Mailing address

3440 Edgewood Park Drive
Commerce, MI 48382
Phone (248) 366-8961

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
I20160308001326 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9537465125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lepak Family Dentistry Current Accepting new patients
Joseph C Lepak DDS PC Current Accepting new patients

Locations

8910 Commerce Rd
Commerce Twp, MI 48382
Phone (248) 363-3228

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1255357216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 EDGEWOOD PARK DRIVE",
            "city": "COMMERCE",
            "state": "MI",
            "postal_code": "48382",
            "telephone_number": "248-366-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 COMMERCE RD",
            "city": "COMMERCE",
            "state": "MI",
            "postal_code": "48382",
            "telephone_number": "248-363-3228",
            "fax_number": "248-363-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPAK-KRUMM",
        "first_name": "LAURYL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901016083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, MI

Sources for this page

Verify at the official NPI Registry.