Individual provider Active NPI

Joel A Lanie, DDS

  • Dentist
  • Bargersville, IN
National Provider Identifier
1013148600
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12011349A Issued in IN
Practice address
50 S State Road 135
Bargersville, IN 46106-8950
Phone
(317) 422-5172
Fax
(317) 422-1730
NPI assigned
Jul 31, 2009
Last updated
Jul 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12011349A IN Primary

Addresses

Primary practice location

50 S State Road 135
Bargersville, IN 46106-8950

Mailing address

50 S State Road 135
PO Box 608
Bargersville, IN 46106-8950
Phone (317) 422-5172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12011349AINMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Joel a Lanie DDS 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": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1013148600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S STATE ROAD 135",
            "address_2": "PO BOX 608",
            "city": "BARGERSVILLE",
            "state": "IN",
            "postal_code": "461068950",
            "telephone_number": "317-422-5172",
            "fax_number": "317-422-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S STATE ROAD 135",
            "city": "BARGERSVILLE",
            "state": "IN",
            "postal_code": "461068950",
            "telephone_number": "317-422-5172",
            "fax_number": "317-422-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANIE",
        "first_name": "JOEL",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-31",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011349A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bargersville, IN

Sources for this page

Verify at the official NPI Registry.