Individual provider Active NPI

Lauren Kristine Schackman, DDS

  • Dentist
  • Aurora, CO
National Provider Identifier
1639914823
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00206046 Issued in CO
Practice address
24272 E Prospect Ave
Aurora, CO 80016-5353
Phone
(303) 228-0224
NPI assigned
Jun 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 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 00206046 CO Primary

Addresses

Primary practice location

24272 E Prospect Ave
Aurora, CO 80016-5353

Mailing address

24272 E Prospect Ave
Aurora, CO 80016-5353
Phone (425) 281-5924

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
00206046COMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1639914823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24272 E PROSPECT AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165353",
            "telephone_number": "425-281-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24272 E PROSPECT AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165353",
            "telephone_number": "303-228-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHACKMAN",
        "first_name": "LAUREN",
        "middle_name": "KRISTINE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00206046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.