Joel A Lanie, DDS
Individual provider Active NPI Dentist · Bargersville, IN
NPI 1013148600 · NPPES record last updated Jul 21, 2016
Key facts
- NPI
- 1013148600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 12011349A (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12011349A | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joel a Lanie DDS | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12011349A | IN | Yes |
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
Other providers in Bargersville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.