Individual provider Active NPI

Natalie Josephine Lorenzano

  • General Practice Dentistry
  • Allen, TX
National Provider Identifier
1417516014
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12013157A Issued in IN
Practice address
333 N Allen Dr
Allen, TX 75013-2539
Phone
(317) 727-9531
NPI assigned
Jun 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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 12013157A IN Primary

Addresses

Primary practice location

333 N Allen Dr
Allen, TX 75013-2539

Mailing address

13246 Brandy LN
Fishers, IN 46037-7449

Other identifiers 1

IdentifierTypeStateIssuer
12013157AOtherININDIANA DDS LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nlorenza@iu.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240817000420 IN Order and Referring Only - DentistPractitioner - Dentist 0840738126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12013157AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rogers Family Dentistry General Practice CurrentSince Oct 10, 2021 Accepting new patients

Locations

9779 E 146th St
Ste 100
Noblesville, IN 46060
Phone (317) 219-3099

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": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1417516014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13246 BRANDY LN",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N ALLEN DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132539",
            "telephone_number": "317-727-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZANO",
        "first_name": "NATALIE",
        "middle_name": "JOSEPHINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013157A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA DDS LICENSE NUMBER",
            "identifier": "12013157A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nlorenza@iu.edu",
            "affiliation": "N",
            "address_1": "333 N Allen Dr",
            "city": "Allen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750132539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.