Individual provider Active NPI

David Allen Lane, M.D.

  • Military Health Care Provider
  • Honolulu, HI
National Provider Identifier
1053312249
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military Health Care ProviderTaxonomy code 171000000X
License
MD-051174-L Issued in PA
Practice address
1 Jarrett White Road
Headquarters Unit, Tripler Army Medical Center
Honolulu, HI 96859-5000
Phone
(808) 433-5781
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X MD-051174-L PA Primary
Family Medicine Physician 207Q00000X MD-051174-L PA

Addresses

Primary practice location

1 Jarrett White Road
Headquarters Unit, Tripler Army Medical Center
Honolulu, HI 96859-5000

Mailing address

1 Jarrett White Road
Headquarters Unit, Tripler Army Medical Center
Honolulu, HI 96859-5000
Phone (808) 433-5781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-051174-LPAMDMilitary Health Care Provider

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1053312249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE ROAD",
            "address_2": "HEADQUARTERS UNIT, TRIPLER ARMY MEDICAL CENTER",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968595000",
            "telephone_number": "808-433-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE ROAD",
            "address_2": "HEADQUARTERS UNIT, TRIPLER ARMY MEDICAL CENTER",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968595000",
            "telephone_number": "808-433-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "PA",
            "license": "MD-051174-L",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD-051174-L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.