Lane Chiropractic Rehabilitation Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC19883 Issued in CA

Legal business name

LANE CHIROPRACTIC REHABILITATION CENTER

Practice address

18042 Magnolia St
Fountain Valley, CA 92708-5603

Phone

(714) 962-1674

Fax

(714) 964-9624

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Donald L Lane Jr., D.C.NPI 1306936471

Title

Owner

Phone

(714) 962-1674

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald L Lane, D.C.

  • Chiropractor
  • Fountain Valley, CA
  • NPI 1306936471
  NPD (past) Authorized official

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1043463532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15550 ROCKFIELD BLVD",
            "address_2": "#B220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182720",
            "telephone_number": "949-598-9999",
            "fax_number": "949-598-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18042 MAGNOLIA ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085603",
            "telephone_number": "714-962-1674",
            "fax_number": "714-964-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE CHIROPRACTIC REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-962-1674",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC19883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC0198830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer T Lam
• Phuong Tu Lam
• Tuan T. Lam, M.D.
• Debi Duci Lambert, NP
• Mikayla Lynn Landon
• Andrew W Lane, DC
• Austin James Lane, DC
• Donald L Lane, D.C.
• Stacy Gayle Lang, PTA
• Brianne Jay Langlas, M.S., SLP

• All providers in Fountain Valley, CA
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.