Lauren Koroknay, RDH, OMT

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

26766 Issued in CA

Practice address

5472 Hunter St
Ventura, CA 93003-2231

Phone

(805) 766-9175

NPI assigned

Sep 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dental Office of Michael Czubiak DDS

  • General Practice Dentistry
  • Camarillo, CA
  • NPI 1841724804
  NPD (past)

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1700507290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5472 HUNTER ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032231",
            "telephone_number": "805-766-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5472 HUNTER ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032231",
            "telephone_number": "805-766-9175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "92 Palm Dr",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930107964",
            "country_code": "US",
            "telephone_number": "805-388-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOROKNAY",
        "first_name": "LAUREN",
        "credential": "RDH, OMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "299177",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "26766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kokua Wellness Inc.
• Satria Jane Komari
• Li Sheng Kong, M.D.
• Lynn R Kong, MD
• Rachel Konis, RBT
• Leah Kory, MD
• Trisha Anne Koury-Stoops
• Alexander Kowblansky, MD
• Kaela Koza, CCC-SLP
• Summer Kraff, RBT

• Dental Hygienist in Ventura, CA
• Providers in Ventura, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.