Individual provider Active NPI

Lauren W Sedler, RDH BS

  • Dental Hygienist
  • Joppa, MD
National Provider Identifier
1295401768
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
5890 Issued in MD
Practice address
413 Pulaski Hwy Ste 107
Joppa, MD 21085-3626
Phone
(410) 679-4500
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
5890MDMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Fci Dental Care PastSince Aug 28, 2021 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 5890 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

413 Pulaski Hwy Ste 107
Joppa, MD 21085-3626

Mailing address

413 Pulaski Hwy Ste 107
Joppa, MD 21085-3626
Phone (410) 679-4500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 17, 2021.

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1295401768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 PULASKI HWY STE 107",
            "city": "JOPPA",
            "state": "MD",
            "postal_code": "210853626",
            "telephone_number": "410-679-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 PULASKI HWY STE 107",
            "city": "JOPPA",
            "state": "MD",
            "postal_code": "210853626",
            "telephone_number": "410-679-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDLER",
        "first_name": "LAUREN",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "RDH BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MD",
            "license": "5890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joppa, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.