Individual provider Active NPI

Lori Jurgens, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Peabody, MA
National Provider Identifier
1326048331
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN1856442 Issued in MA
Practice address
6 Essex Center Dr
Ste 112a
Peabody, MA 01960-2905
Phone
(787) 268-1996
Fax
(787) 728-6759
NPI assigned
Aug 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019020324 IL
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 1768 PR
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN1856442 MA Primary

Addresses

Primary practice location

6 Essex Center Dr
Ste 112a
Peabody, MA 01960-2905

Mailing address

6 Essex Center Dr
Ste 112a
Peabody, MA 01960-2905
Phone (787) 728-8052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140429001168 MA Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 6103958376 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019020324ILMDGeneral Practice Dentistry
DN1856442MAMDOral and Maxillofacial Surgery (Dentist)
1768PRMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1326048331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ESSEX CENTER DR",
            "address_2": "STE 112A",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602905",
            "telephone_number": "787-728-8052",
            "fax_number": "787-268-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ESSEX CENTER DR",
            "address_2": "STE 112A",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602905",
            "telephone_number": "787-268-1996",
            "fax_number": "787-728-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURGENS",
        "first_name": "LORI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019020324",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": "1768",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DN1856442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

Verify at the official NPI Registry.