Active NPI
Lauren Storts, DDS
- Dentist
- Ardmore, OK
National Provider Identifier
1730597626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6621
- Practice address
- 1220 Merrick Dr
Ardmore, OK 73401-1824 - Phone
- (802) 236-7205
- Fax
- (580) 223-6724
- NPI assigned
- Jul 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6621 | OK | Primary |
Addresses
Primary practice location
1220 Merrick Dr
Ardmore, OK 73401-1824
Mailing address
1220 Merrick Dr
Ardmore, OK 73401-1824
Phone (580) 223-6720
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6621 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1730597626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 MERRICK DR",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011824",
"telephone_number": "580-223-6720",
"fax_number": "580-223-6724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 MERRICK DR",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011824",
"telephone_number": "802-236-7205",
"fax_number": "580-223-6724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORTS",
"first_name": "LAUREN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-24",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "6621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.