NPIMap

Organization Active NPI

Jerry L Lanier DDS Inc

  • Dentist
  • Clovis, CA
National Provider Identifier
1073477824
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JERRY L LANIER DDS INC
Practice address
200 W Shaw Ave Ste 101
Clovis, CA 93612-3698
Phone
(559) 691-4591
Fax
(559) 691-4592
NPI assigned
Dec 15, 2025
Last updated
Dec 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Michelle Lobo
Title
HR Director
Phone
(661) 312-1433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

200 W Shaw Ave Ste 101
Clovis, CA 93612-3698

Mailing address

5449 Hollywood Blvd Ste a
Los Angeles, CA 90027-3454

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

Locations

200 W Shaw Ave
Ste 101
Clovis, CA 93612
Phone (559) 578-3170

NPI Registry JSON

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1073477824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5449 HOLLYWOOD BLVD STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900273454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W SHAW AVE STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123698",
            "telephone_number": "559-691-4591",
            "fax_number": "559-691-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY L LANIER DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "LOBO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "HR DIRECTOR",
        "authorized_official_telephone_number": "661-312-1433"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.