Eduardo R Lorenzana, DDS MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

18844 Issued in TX

Practice address

3519 Paesanos Pkwy Ste 103
San Antonio, TX 78231-1266

Phone

(210) 492-3519

NPI assigned

Dec 19, 2006

Last updated

Jul 31, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1881757904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 PAESANOS PKWY STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311266",
            "telephone_number": "210-492-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 PAESANOS PKWY STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311266",
            "telephone_number": "210-492-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZANA",
        "first_name": "EDUARDO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "18844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loree-Kay, LLC (Home Helpers 58112)
• Loren D Alves, DMD, PA
• Lorenco Inc (Austin Hwy-Village Drive Clinic)
• Heather Dawn Lorenz, RN,MSN
• Lorenzana Enterprise, LLC
• Jonathan Lorenzana
• Laura Lee Lorenzana, LBSW
• Javier Lorenzo Rodriguez, DMD
• Carlos Lorenzo, MD
• Hilda Marie Dela Cruz Loria, M.D.

• Periodontics in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.