Individual provider Active NPI

Lawrence P. Lorenzi, D.D.S.

  • Oral and Maxillofacial Pathology Dentistry
  • Palm Desert, CA
National Provider Identifier
1851474902
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
25937 Issued in CA
Practice address
74303 Highway 111 Ste 2a
Palm Desert, CA 92260-4141
Phone
(949) 945-4274
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 25937 CA Primary

Addresses

Primary practice location

74303 Highway 111 Ste 2a
Palm Desert, CA 92260-4141

Mailing address

1812 Port Margate PL
Newport Beach, CA 92660-5324
Phone (949) 500-0018

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

LicenseStateTypeSpecialty
25937CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Poyourow Professional Dental Corporation PastSince Feb 21, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1851474902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 PORT MARGATE PL",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605324",
            "telephone_number": "949-500-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74303 HIGHWAY 111 STE 2A",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604141",
            "telephone_number": "949-945-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZI",
        "first_name": "LAWRENCE",
        "middle_name": "P.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "CA",
            "license": "25937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.