Individual provider Active NPI

Lauren Ziegler Hartzog, DMD

  • Dentist
  • Rowlett, TX
National Provider Identifier
1336797083
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39250 Issued in TX
Practice address
4518 Rowlett Rd
Rowlett, TX 75088-5081
Phone
(843) 422-5488
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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 9448 SC
General Practice Dentistry 1223G0001X 39250 TX
Dentist 122300000X 39250 TX Primary

Addresses

Primary practice location

4518 Rowlett Rd
Rowlett, TX 75088-5081

Mailing address

5619 Belmont Ave Apt 4222
Dallas, TX 75206-6893
Phone (843) 422-5548

Other practice location 1

23 N Main St Ste 302
Hilton Head Island, SC 29926-6607
Phone (843) 671-7336

Other practice location 2

10 Arley Way # 102
Bluffton, SC 29910-4883
Phone (843) 757-7336

Other practice location 3

921 W Belt Line Rd Ste 117
DeSoto, TX 75115-3995
Phone (843) 422-5548

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
9448SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Pediatric Dentistry, LLC PastSince Sep 1, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1336797083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5619 BELMONT AVE APT 4222",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752066893",
            "telephone_number": "843-422-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4518 ROWLETT RD",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750885081",
            "telephone_number": "843-422-5488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 N Main St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Hilton Head Island",
            "state": "SC",
            "postal_code": "299266607",
            "country_code": "US",
            "telephone_number": "843-671-7336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Arley Way # 102",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299104883",
            "country_code": "US",
            "telephone_number": "843-757-7336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "921 W Belt Line Rd Ste 117",
            "address_purpose": "LOCATION",
            "city": "DeSoto",
            "state": "TX",
            "postal_code": "751153995",
            "country_code": "US",
            "telephone_number": "843-422-5548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTZOG",
        "first_name": "LAUREN",
        "middle_name": "ZIEGLER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9448",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39250",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.