Active NPI
Michael J Lorenz II, DDS
- Dentist
- Festus, MO
National Provider Identifier
1770077794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2018021977
- Practice address
- 112 S 2ND St
Festus, MO 63028-2201 - Phone
- (636) 321-0110
- Fax
- (636) 285-8988
- NPI assigned
- Jun 22, 2018
- Last updated
- Jun 22, 2018
- Sex
- Male
- 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 | 2018021977 | MO | Primary |
Addresses
Primary practice location
112 S 2ND St
Festus, MO 63028-2201
Mailing address
227 Main St
Festus, MO 63028-1952
Phone (636) 931-2700
Other practice location 1
4 Hickory Ridge Rd Ste 600
Hillsboro, MO 63050-5117
Phone (636) 481-6040
Other practice location 2
4300 Gravois Rd
House Springs, MO 63051-2304
Phone (636) 321-0150
Other practice location 3
849 Jeffco Blvd
Arnold, MO 63010-1409
Phone (636) 287-0440
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 |
|---|---|---|---|
| 2018021977 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1529625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529625600000",
"number": "1770077794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 MAIN ST",
"city": "FESTUS",
"state": "MO",
"postal_code": "630281952",
"telephone_number": "636-931-2700",
"fax_number": "636-931-5304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 S 2ND ST",
"city": "FESTUS",
"state": "MO",
"postal_code": "630282201",
"telephone_number": "636-321-0110",
"fax_number": "636-285-8988"
}
],
"practiceLocations": [
{
"address_1": "4 Hickory Ridge Rd Ste 600",
"address_purpose": "LOCATION",
"city": "Hillsboro",
"state": "MO",
"postal_code": "630505117",
"country_code": "US",
"telephone_number": "636-481-6040",
"fax_number": "636-797-5660",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4300 Gravois Rd",
"address_purpose": "LOCATION",
"city": "House Springs",
"state": "MO",
"postal_code": "630512304",
"country_code": "US",
"telephone_number": "636-321-0150",
"fax_number": "636-375-5157",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "849 Jeffco Blvd",
"address_purpose": "LOCATION",
"city": "Arnold",
"state": "MO",
"postal_code": "630101409",
"country_code": "US",
"telephone_number": "636-287-0440",
"fax_number": "636-285-8988",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LORENZ",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-22",
"last_updated": "2018-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2018021977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Festus, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.