Individual provider Active NPI

Lauren Sytek, DDS, MS

  • Dentist
  • Alpena, MI
National Provider Identifier
1942810189
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901022345 Issued in MI
Practice address
1132 W Chisholm St Ste a
Alpena, MI 49707-1605
Phone
(989) 340-0671
NPI assigned
Aug 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 2901022345SCA200A2 MI
Dentist 122300000X 2901022345 MI Primary

Addresses

Primary practice location

1132 W Chisholm St Ste a
Alpena, MI 49707-1605

Mailing address

1132 W Chisholm St Ste a
Alpena, MI 49707-1605
Phone (989) 340-0671

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2901022345MIMDDentist
2901022345SCA200A2MIMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1942810189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 W CHISHOLM ST STE A",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071605",
            "telephone_number": "989-340-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 W CHISHOLM ST STE A",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071605",
            "telephone_number": "989-340-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYTEK",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901022345SCA200A2",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.