Individual provider Active NPI

Lauren Maizes, DDS

  • Dentist
  • St. Petersburg, FL
National Provider Identifier
1659980902
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN25152 Issued in FL
Practice address
7530 4TH Street N.
St. Petersburg, FL 33702-5410
Phone
(727) 525-8770
NPI assigned
Jul 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN25152 FL Primary

Addresses

Primary practice location

7530 4TH Street N.
St. Petersburg, FL 33702-5410

Mailing address

2189 Cleveland Street
Suite 252
Clearwater, FL 33765-3243
Phone (727) 461-9149

Other practice location 1

1885 Shore Dr S Apt 518
South Pasadena, FL 33707-4749
Phone (727) 744-6681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20211204000224 FL Order and Referring Only - DentistPractitioner - Dentist 4183014202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
FL Dental Centers PLLC Dentist CurrentSince Jul 20, 2021 Accepting new patients
Florida Dental Centers PastSince Jul 20, 2021 Accepting new patients

Locations

2194 Drew St
Clearwater, FL 33765
Phone (727) 462-5555

2189 Cleveland St
Ste 252
Clearwater, FL 33765
Phone (727) 461-9149

7491 Ulmerton Rd
Ste 1
Largo, FL 33771
Phone (727) 507-9090

7000 66th St N
Pinellas Park, FL 33781
Phone (727) 546-4665

7530 4th St N
St Petersburg, FL 33702
Phone (727) 525-8770

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1659980902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2189 CLEVELAND STREET",
            "address_2": "SUITE 252",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653243",
            "telephone_number": "727-461-9149",
            "fax_number": "727-446-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 4TH STREET N.",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337025410",
            "telephone_number": "727-525-8770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1885 Shore Dr S Apt 518",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "FL",
            "postal_code": "337074749",
            "country_code": "US",
            "telephone_number": "727-744-6681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIZES",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Petersburg, FL

Sources for this page

Verify at the official NPI Registry.