Active NPI
Loren Myron Norman, D.D.S.
- General Practice Dentistry
- Afton, WY
National Provider Identifier
1902941354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- WY1035
- Practice address
- 91 E. 4TH Ave.
Afton, WY 83110-1509 - Phone
- (307) 885-5276
- Fax
- (307) 885-5276
- NPI assigned
- Feb 21, 2007
- Last updated
- Apr 6, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | WY1035 | WY | Primary |
Addresses
Primary practice location
91 E. 4TH Ave.
Afton, WY 83110-1509
Mailing address
PO Box 1509
91 E. 4TH Ave.
Afton, WY 83110-1509
Phone (307) 885-5276
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
| License | State | Type | Specialty |
|---|---|---|---|
| WY1035 | WY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owens Dental LLC | Past | 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, 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": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1902941354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1509",
"address_2": "91 E. 4TH AVE.",
"city": "AFTON",
"state": "WY",
"postal_code": "831101509",
"telephone_number": "307-885-5276",
"fax_number": "307-885-5276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 E. 4TH AVE.",
"city": "AFTON",
"state": "WY",
"postal_code": "831101509",
"telephone_number": "307-885-5276",
"fax_number": "307-885-5276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORMAN",
"first_name": "LOREN",
"middle_name": "MYRON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WY",
"license": "WY1035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Afton, WY
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- James Edward Moser, O.D.
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- Cody Myers, PA-C
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- North Lincoln County Hospital District (Star Valley Care Center)
- North Lincoln County Hospital District
- North Lincoln County Hospital District (Star Valley Medical Center)
- Northwest Home Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.