Organization Active NPI

Lane Center for Advanced Dentistry, LLC

  • General Practice Dentistry
  • Greensburg, PA
National Provider Identifier
1013133206
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS0272161 Issued in PA
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

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
Gregory Earl Lane, D.M.D.NPI 1063593036
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
729519OtherPAUNITED CONCORDIA PROVIDER

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.