NPIMap

Organization Active NPI

Lorenz Dental LLC

  • Dental Clinic/Center
  • Colgate, WI
National Provider Identifier
1790495117
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LORENZ DENTAL LLC
Practice address
N95W25901 County Line Rd Ste I
Colgate, WI 53017-9225
Phone
(262) 628-0555
NPI assigned
Nov 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Dr. Kierstin Lorenz, DDSNPI 1457977019
Title
Dentist
Phone
(701) 490-0632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

N95W25901 County Line Rd Ste I
Colgate, WI 53017-9225

Mailing address

634 N 98TH St
Milwaukee, WI 53226-4306

Other names 1

  • Lake Five Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

N95W25901 Cty Highway Q
Ste I
Colgate, WI 53017
Phone (262) 628-0555

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1790495117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 N 98TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N95W25901 COUNTY LINE RD STE I",
            "city": "COLGATE",
            "state": "WI",
            "postal_code": "530179225",
            "telephone_number": "262-628-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORENZ DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-26",
        "status": "A",
        "authorized_official_last_name": "LORENZ",
        "authorized_official_first_name": "KIERSTIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "701-490-0632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Five Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colgate, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.