Individual provider Active NPI

Lauren Anne Scarry, DMD

  • Dentist
  • Manitowoc, WI
National Provider Identifier
1467252825
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6001853 Issued in WI
Practice address
2719 Calumet Ave
Manitowoc, WI 54220-5546
Phone
(920) 686-2333
NPI assigned
Mar 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6001853 WI Primary

Addresses

Primary practice location

2719 Calumet Ave
Manitowoc, WI 54220-5546

Mailing address

2719 Calumet Ave
Manitowoc, WI 54220-5546
Phone (920) 686-2333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20250908002914 WI Order and Referring Only - DentistPractitioner - Dentist 5395247324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6001853WIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1741996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1467252825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 CALUMET AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205546",
            "telephone_number": "920-686-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 CALUMET AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205546",
            "telephone_number": "920-686-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARRY",
        "first_name": "LAUREN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-15",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6001853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manitowoc, WI

Sources for this page

Verify at the official NPI Registry.