Individual provider Active NPI

Lauren M.F. Syrowik, DDS

  • Periodontics
  • Farmington Hills, MI
National Provider Identifier
1841630381
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2901021780 Issued in MI
Practice address
33505 W 14 Mile Rd
Suite 70
Farmington Hills, MI 48331-1588
Phone
(248) 851-1034
NPI assigned
Jun 28, 2013
Last updated
Jul 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 2901021780 MI Primary

Addresses

Primary practice location

33505 W 14 Mile Rd
Suite 70
Farmington Hills, MI 48331-1588

Mailing address

33505 W 14 Mile Rd
Suite 70
Farmington Hills, MI 48331-1588
Phone (248) 851-1034

Other identifiers 1

IdentifierTypeStateIssuer
ENROLLEDMedicaidMN

Other names 1

  • Lauren M Frizzo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160915000288 MI Order and Referring Only - DentistPractitioner - Dentist 8820223175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901021780MIMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Periodontic and Implantology Specialists PLLC Periodontics PastSince Apr 6, 2021 Accepting new patients
Periodontic PLLC Periodontics Past Accepting new patients

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": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1841630381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33505 W 14 MILE RD",
            "address_2": "SUITE 70",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311588",
            "telephone_number": "248-851-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33505 W 14 MILE RD",
            "address_2": "SUITE 70",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311588",
            "telephone_number": "248-851-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYROWIK",
        "first_name": "LAUREN",
        "middle_name": "M.F.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901021780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "FRIZZO",
            "middle_name": "M",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.