Lauren Cripps, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019032439 Issued in IL

Practice address

1504 Sioux Dr
Marion, IL 62959-5209

Phone

(618) 997-0127

NPI assigned

Jun 23, 2016

Reactivated

Sep 29, 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)

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.

• Southern Illinois University Carbondale

  • Dental Clinic/Center
  • Carbondale, IL
  • NPI 1962674788
  NPD (past) Authorized official
• Nathan D Leiske DDS PC

  • Dental Clinic/Center
  • Marion, IL
  • NPI 1578071817
  NPD (past)
• Alex Sharifian DDS Blue Springs Dentistry PC

  • General Practice Dentistry
  • Blue Springs, MO
  • NPI 1083027411
  NPD (past)

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1780035451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BREEZE DR",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629182367",
            "telephone_number": "309-657-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 SIOUX DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595209",
            "telephone_number": "618-997-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIPPS",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "deactivation_date": "2022-09-19",
        "reactivation_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2016019533",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019032439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Fern Crane, LPN
• Laurel Grace Crank
• Creative Mind Solutions
• Courtney Crees
• Emily Cripps
• Ma Claravel Baricuatro Criste, M.D.
• Alberto Dejesus Cuartas, M.D.
• Kathryn Rose Cully
• Charles A Culver, PHARM.D.
• Samantha Cummins, BS

• General Practice Dentistry in Marion, IL
• Providers in Marion, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.