Individual provider Active NPI

Lisa Ann Lanham, DD, LD

  • Denturist
  • Bellingham, WA
National Provider Identifier
1013770841
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
DN60938407 Issued in WA
Practice address
1329 King St
Bellingham, WA 98229-6223
Phone
(360) 647-0395
Fax
(360) 594-4387
NPI assigned
Feb 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Denturist 122400000X DN60938407 WA Primary

Addresses

Primary practice location

1329 King St
Bellingham, WA 98229-6223

Mailing address

1329 King St
Bellingham, WA 98229-6223
Phone (360) 647-0395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN60938407WAMDDenturist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellingham Denture Clinic, Inc Denturist CurrentSince Feb 11, 2024 Accepting new patients
Carson Denture Center PS Denturist PastSince Feb 11, 2024 Accepting new patients

Locations

1329 King St
Bellingham, WA 98229
Phone (360) 647-0395

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1013770841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 KING ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982296223",
            "telephone_number": "360-647-0395",
            "fax_number": "360-594-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 KING ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982296223",
            "telephone_number": "360-647-0395",
            "fax_number": "360-594-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANHAM",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "DD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN60938407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.