Individual provider Active NPI

Lauren Wilburn, D.D.S

  • General Practice Dentistry
  • Columbia, TN
National Provider Identifier
1376872812
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9089 Issued in TN
Practice address
706 Lion Pkwy
Columbia, TN 38401-4721
Phone
(931) 388-3384
Fax
(931) 388-1250
NPI assigned
Dec 11, 2009
Last updated
Sep 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9089 TN Primary

Addresses

Primary practice location

706 Lion Pkwy
Columbia, TN 38401-4721

Mailing address

706 Lion Pkwy
Columbia, TN 38401-4721
Phone (931) 388-3384

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
9089TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Creekside Family Dental Center PC General Practice Past Accepting new patients
Dobberstein Dentistry, P.L.L.C. 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1376872812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 LION PKWY",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014721",
            "telephone_number": "931-388-3384",
            "fax_number": "931-388-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 LION PKWY",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014721",
            "telephone_number": "931-388-3384",
            "fax_number": "931-388-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBURN",
        "first_name": "LAUREN",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "9089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.