Individual provider Active NPI

Srean Y Lor, DMD

  • General Practice Dentistry
  • Takoma Park, MD
National Provider Identifier
1336213305
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10700 Issued in MD
Practice address
7676 New Hampshire Avenue
Srean Y Lor DMD PC Suite 224
Takoma Park, MD 20912
Phone
(301) 431-2919
Fax
(301) 431-0955
NPI assigned
Nov 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10700 MD Primary
General Practice Dentistry 1223G0001X 0401007835 VA

Addresses

Primary practice location

7676 New Hampshire Avenue
Srean Y Lor DMD PC Suite 224
Takoma Park, MD 20912

Mailing address

7676 New Hampshire Avenue
Srean Y Lor DMD PC Suite 224
Takoma Park, MD 20912-7514
Phone (301) 431-2919

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

LicenseStateTypeSpecialty
10700MDMDGeneral Practice Dentistry
0401007835VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336213305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7676 NEW HAMPSHIRE AVENUE",
            "address_2": "SREAN Y LOR DMD PC SUITE 224",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209127514",
            "telephone_number": "301-431-2919",
            "fax_number": "301-431-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7676 NEW HAMPSHIRE AVENUE",
            "address_2": "SREAN Y LOR DMD PC SUITE 224",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "20912",
            "telephone_number": "301-431-2919",
            "fax_number": "301-431-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOR",
        "first_name": "SREAN",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "10700",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007835",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.