Active NPI
Lane Center for Advanced Dentistry, LLC
- General Practice Dentistry
- Greensburg, PA
National Provider Identifier
1013133206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS0272161
- Legal business name
- LANE CENTER FOR ADVANCED DENTISTRY, LLC
- Practice address
- 4623 State Route 136
Greensburg, PA 15601-6415 - Phone
- (724) 836-4433
- Fax
- (724) 836-2507
- NPI assigned
- Apr 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory Earl Lane, D.M.D.
- Title
- Sole Member
- Phone
- (724) 836-4433
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS0272161 | PA | Primary |
Addresses
Primary practice location
4623 State Route 136
Greensburg, PA 15601-6415
Mailing address
4623 State Route 136
Greensburg, PA 15601-6415
Phone (724) 836-4433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 729519 | Other | PA | UNITED CONCORDIA PROVIDER |
National Provider Directory
National Provider DirectoryLocations
4623 State Route 136
Greensburg, PA 15601
Phone (724) 836-4433
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Greensburg, PA
- NPI 1063593036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013133206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4623 STATE ROUTE 136",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156016415",
"telephone_number": "724-836-4433",
"fax_number": "724-836-2507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4623 STATE ROUTE 136",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156016415",
"telephone_number": "724-836-4433",
"fax_number": "724-836-2507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANE CENTER FOR ADVANCED DENTISTRY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LANE",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "EARL",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "724-836-4433",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS0272161",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA PROVIDER",
"identifier": "729519",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensburg, PA
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.