NPIMap

Organization Active NPI

Lane and Associates Xli DDS PA

  • Dentist
  • Jacksonville, NC
National Provider Identifier
1033794300
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LANE AND ASSOCIATES XLI DDS PA
Practice address
571 Yopp Rd Ste 308
Jacksonville, NC 28540-3683
Phone
(910) 716-0101
Fax
(910) 294-8874
NPI assigned
Mar 17, 2021
Last updated
Apr 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Alicia Duffy
Title
Credentialing Specialist
Phone
(919) 295-2757

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary
General Practice Dentistry 1223G0001X

Addresses

Primary practice location

571 Yopp Rd Ste 308
Jacksonville, NC 28540-3683

Mailing address

571 Yopp Rd Ste 308
Jacksonville, NC 28540-3683
Phone (877) 526-3337

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.lanedds.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

571 Yopp Rd
Ste 308
Jacksonville, NC 28540
Phone (910) 716-0101

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1033794300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 YOPP RD STE 308",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285403683",
            "telephone_number": "877-526-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 YOPP RD STE 308",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285403683",
            "telephone_number": "910-716-0101",
            "fax_number": "910-294-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE AND ASSOCIATES XLI DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "919-295-2757"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.lanedds.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "571 Yopp Rd Ste 308",
            "city": "Jacksonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285403683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.