Individual provider Active NPI

Anne Atha Lane, D.D.S.

  • General Practice Dentistry
  • Overland Park, KS
National Provider Identifier
1053751214
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
69059 Issued in KS
Practice address
10400 W 103Rd St Ste 21
Overland Park, KS 66214-2664
Phone
(913) 722-0610
Fax
(913) 722-2893
NPI assigned
Jul 2, 2013
Last updated
Sep 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 69059 KS Primary
Student in an Organized Health Care Education/Training Program 390200000X RES.3374 OH

Addresses

Primary practice location

10400 W 103Rd St Ste 21
Overland Park, KS 66214-2664

Mailing address

10400 W 103Rd St Ste 21
Overland Park, KS 66214-2664
Phone (913) 722-0610

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
69059KSMDGeneral Practice Dentistry
RES.3374OHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Wycliff Family Dentistry CurrentSince Sep 17, 2023 Accepting new patients
Dr. Anthony T. Beckler, D.D.S General Practice Past Accepting new patients
Michael M Tanner, DDS, PC General Practice PastSince Sep 12, 2021 Accepting new patients

Locations

10400 W 103rd St
Ste 21
Overland Park, KS 66214
Phone (913) 722-0610

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1053751214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 W 103RD ST STE 21",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662142664",
            "telephone_number": "913-722-0610",
            "fax_number": "913-722-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 W 103RD ST STE 21",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662142664",
            "telephone_number": "913-722-0610",
            "fax_number": "913-722-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "ANNE",
        "middle_name": "ATHA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "69059",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "RES.3374",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.