Individual provider Active NPI

Lauren Glynn

  • Dentist
  • Dighton, MA
National Provider Identifier
1609455278
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1859336 Issued in MA
Practice address
1209 Somerset Ave
Dighton, MA 02715-1264
Phone
(508) 692-8289
NPI assigned
Apr 2, 2021
Last updated
Dec 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1859336 MA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

1209 Somerset Ave
Dighton, MA 02715-1264

Mailing address

7 Sleepy Holw
Walpole, MA 02081-1627
Phone (508) 404-7869

Other practice location 1

500 Indiana Ave
Winslow, AZ 86047-2169
Phone (928) 289-8143

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
DN1859336MAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1609455278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SLEEPY HOLW",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020811627",
            "telephone_number": "508-404-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 SOMERSET AVE",
            "city": "DIGHTON",
            "state": "MA",
            "postal_code": "027151264",
            "telephone_number": "508-692-8289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Indiana Ave",
            "address_purpose": "LOCATION",
            "city": "Winslow",
            "state": "AZ",
            "postal_code": "860472169",
            "country_code": "US",
            "telephone_number": "928-289-8143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLYNN",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859336",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.