Individual provider Active NPI

Lauren E Handwerk, DMD

  • General Practice Dentistry
  • Braintree, MA
National Provider Identifier
1639109655
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20851 Issued in MA
Practice address
382 Grove St
Braintree, MA 02184-7324
Phone
(781) 843-1072
Fax
(781) 843-7880
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20851 MA Primary

Addresses

Primary practice location

382 Grove St
Braintree, MA 02184-7324

Mailing address

382 Grove St
Braintree, MA 02184-7324
Phone (781) 843-1072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150623002169 MA Order and Referring Only - DentistPractitioner - Dentist 5193036754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20851MAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639109655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 GROVE ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021847324",
            "telephone_number": "781-843-1072",
            "fax_number": "781-843-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 GROVE ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021847324",
            "telephone_number": "781-843-1072",
            "fax_number": "781-843-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDWERK",
        "first_name": "LAUREN",
        "middle_name": "E",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

Verify at the official NPI Registry.