Active NPI
Michael H Lorscheider, D.M.D.
- General Practice Dentistry
- Provo, UT
National Provider Identifier
1447348180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- UT 2412
- Practice address
- 2476 N University Pkwy
Provo, UT 84604-3868 - Phone
- (801) 377-0990
- Fax
- (801) 373-3361
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | UT 2412 | UT | Primary |
Addresses
Primary practice location
2476 N University Pkwy
Provo, UT 84604-3868
Mailing address
2476 N University Pkwy
Provo, UT 84604-3868
Phone (801) 377-0990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044568 | Other | UT | MEDICAID DELTA DENTAL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| UT 2412 | UT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439856000000",
"number": "1447348180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2476 N UNIVERSITY PKWY",
"city": "PROVO",
"state": "UT",
"postal_code": "846043868",
"telephone_number": "801-377-0990",
"fax_number": "801-373-3361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2476 N UNIVERSITY PKWY",
"city": "PROVO",
"state": "UT",
"postal_code": "846043868",
"telephone_number": "801-377-0990",
"fax_number": "801-373-3361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORSCHEIDER",
"first_name": "MICHAEL",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2015-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "UT 2412",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DELTA DENTAL",
"identifier": "044568",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.