Adam J Lane, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DDS103489 Issued in CA

Practice address

4323 Hill St
4323 Hill Street
Columbia, SC 29207-6022

Phone

(803) 751-6209

Fax

(803) 751-6886

NPI assigned

Aug 24, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1063728376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 HILL ST",
            "address_2": "USA DENTAC",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292076022",
            "telephone_number": "803-751-6209",
            "fax_number": "803-751-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 HILL ST",
            "address_2": "4323 HILL STREET",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292076022",
            "telephone_number": "803-751-6209",
            "fax_number": "803-751-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "ADAM",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-24",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "SC",
            "license": "8772",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "DN015132",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "DDS103489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landmark Recovery of Columbia LLC
• Kristina Maria Landolfi, NBC-HWC
• Willie E Landrum II, MD
• Jason Michael Landry, M.D.
• Tanyatta Lane-King, NP
• Courtney Louise Lane, DO
• Henderson Michael Lane, MD
• Jaclynn Lane, RN
• Scott M Lane
• Shamera Lane

• Endodontics in Columbia, SC
• Providers in Columbia, SC by specialty
• Endodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.