Individual provider Active NPI

David M Lauren, D.O.

  • Family Medicine Physician
  • Stamford, CT
National Provider Identifier
1629069653
Registry record updated Jan 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47449 Issued in CT
Practice address
3000 Summer St
Stamford, CT 06905-4311
Phone
(202) 969-2000
Fax
(203) 504-8733
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34005575L OH
Family Medicine Physician 207Q00000X 47449 CT Primary

Addresses

Primary practice location

3000 Summer St
Stamford, CT 06905-4311

Mailing address

3000 Summer St
Stamford, CT 06905-4311
Phone (202) 969-2000

Other identifiers 1

IdentifierTypeStateIssuer
0984672MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110120001048 CT Practitioner - Family Practice 8123115946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stamford UC PCGroup PAC ID 2163645391, 8 clinicians

Practice addresses (Care Compare)

3000 Summer St
Stamford, CT 06905-4311
Phone (203) 969-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34005575LOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford UC PC Current Accepting new patients
Stamford UC PC Family Medicine CurrentSince Feb 1, 2014 Accepting new patients
South Zanesville Family Medical Center, Inc Family Medicine PastSince Jan 3, 2000 Accepting new patients
Physicians Group of Southeastern Ohio Inc Family Medicine PastSince Dec 1, 2014 Accepting new patients

Locations

3000 Summer St
Stamford, CT 06905
Phone (203) 969-2000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452988800000",
    "number": "1629069653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 SUMMER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069054311",
            "telephone_number": "202-969-2000",
            "fax_number": "203-504-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 SUMMER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069054311",
            "telephone_number": "202-969-2000",
            "fax_number": "203-504-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUREN",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2016-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34005575L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "47449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0984672",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.