Organization Active NPI

John D Lane, DDS, LTD

  • General Practice Dentistry
  • Mt Prospect, IL
National Provider Identifier
1013022821
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOHN D LANE, DDS, LTD
Practice address
724 E Northwest Hwy
Mt Prospect, IL 60056-3442
Phone
(847) 392-4270
Fax
(847) 398-8420
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Dennis Lane, DDS
Title
President
Phone
(847) 392-4270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

724 E Northwest Hwy
Mt Prospect, IL 60056-3442

Mailing address

724 E Northwest Hwy
Mt Prospect, IL 60056-3442
Phone (847) 392-4270

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013022821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 E NORTHWEST HWY",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563442",
            "telephone_number": "847-392-4270",
            "fax_number": "847-398-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 E NORTHWEST HWY",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563442",
            "telephone_number": "847-392-4270",
            "fax_number": "847-398-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D LANE, DDS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-392-4270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.