NPIMap

Organization Active NPI

Jerry L Lanier DDS Inc.

Doing business as Kids Dental Kare

  • Dentist
  • Lynwood, CA
National Provider Identifier
1043444276
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
40088 Issued in CA
Legal business name
JERRY L LANIER DDS INC.
Doing business as
Kids Dental Kare
Practice address
10900 Long Beach Blvd
Lynwood, CA 90262-2688
Phone
(310) 632-0202
NPI assigned
May 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Authorized official

Name
Dr. Jerry Lanier, DDS
Title
President/Dentist
Phone
(310) 632-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 40088 CA Primary

Addresses

Primary practice location

10900 Long Beach Blvd
Lynwood, CA 90262-2688

Mailing address

10900 Long Beach Blvd
Lynwood, CA 90262-2688
Phone (310) 632-0202

Other identifiers 1

IdentifierTypeStateIssuer
1356489660MedicaidCA

Other names 1

  • Kids Dental Kare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jerry L Lanier DDS Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1043444276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 LONG BEACH BLVD",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622688",
            "telephone_number": "310-632-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 LONG BEACH BLVD",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622688",
            "telephone_number": "310-632-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY L LANIER DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "310-632-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "40088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356489660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Dental Kare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.