Individual provider Active NPI

Lauren Wegrzyniak, DMD, MBA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Harrisburg, PA
National Provider Identifier
1326468968
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS040721 Issued in PA
Practice address
2213 Forest Hills Dr Ste 1
Harrisburg, PA 17112-1090
Phone
(610) 401-0559
NPI assigned
Apr 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X LL-359-13 NV
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DS040721 PA Primary

Addresses

Primary practice location

2213 Forest Hills Dr Ste 1
Harrisburg, PA 17112-1090

Mailing address

2213 Forest Hills Dr Ste 1
Harrisburg, PA 17112-1090
Phone (610) 401-0559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 22, 2018 through Oct 22, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
LL-359-13NVMDOrthodontics and Dentofacial Orthopedic Dentist
DS040721PAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland L. Null, DDS, PC Past Accepting new patients
Seidel and Defilippo Dentistry Partnership 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": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1326468968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 FOREST HILLS DR STE 1",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121090",
            "telephone_number": "610-401-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 FOREST HILLS DR STE 1",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121090",
            "telephone_number": "610-401-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGRZYNIAK",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "DMD, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "LL-359-13",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS040721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.