Active NPI
Melanie Lynn Lorenz, DDS
- General Practice Dentistry
- Coventry, RI
National Provider Identifier
1497429906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN03564
- Practice address
- 121 Sandy Bottom Rd
Coventry, RI 02816-5865 - Phone
- (401) 822-3352
- NPI assigned
- Aug 7, 2021
- Sex
- Female
- Sole proprietor
- No
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 | DEN03564 | RI | Primary |
Addresses
Primary practice location
121 Sandy Bottom Rd
Coventry, RI 02816-5865
Mailing address
1375 Center St
Dighton, MA 02715-1129
Phone (774) 488-6307
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 |
|---|---|---|---|
| DEN03564 | RI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628294400000",
"number": "1497429906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1375 CENTER ST",
"city": "DIGHTON",
"state": "MA",
"postal_code": "027151129",
"telephone_number": "774-488-6307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 SANDY BOTTOM RD",
"city": "COVENTRY",
"state": "RI",
"postal_code": "028165865",
"telephone_number": "401-822-3352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORENZ",
"first_name": "MELANIE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-07",
"last_updated": "2021-08-07",
"certification_date": "2021-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "RI",
"license": "DEN03564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coventry, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.