Individual provider Active NPI

Lauren Kisley-Dooms, D.M.D.

  • General Practice Dentistry
  • Willoughby, OH
National Provider Identifier
1720366156
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.023446 Issued in OH
Practice address
37241 Euclid Ave
Willoughby, OH 44094-5656
Phone
(440) 951-6550
Fax
(440) 951-6528
NPI assigned
Aug 2, 2011
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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 30.023446 OH Primary

Addresses

Primary practice location

37241 Euclid Ave
Willoughby, OH 44094-5656

Mailing address

37241 Euclid Ave
Willoughby, OH 44094-5656
Phone (440) 951-6550

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
30.023446OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren Kisley-Dooms, DMD, LLC General Practice CurrentSince Dec 7, 2025 Accepting new patients
David J Francati DDS Sherry L Waters DDS LLC Past Accepting new patients

Locations

37241 Euclid Ave
Willoughby, OH 44094
Phone (440) 951-6550

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1720366156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37241 EUCLID AVE",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440945656",
            "telephone_number": "440-951-6550",
            "fax_number": "440-951-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37241 EUCLID AVE",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440945656",
            "telephone_number": "440-951-6550",
            "fax_number": "440-951-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISLEY-DOOMS",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.023446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.