Active NPI
Lannie Earl Devin, DDS
- General Practice Dentistry
- Idalou, TX
National Provider Identifier
1073655429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 15029
- Practice address
- 810 Frontage Road
Idalou, TX 79329 - Phone
- (806) 892-2557
- Fax
- (806) 892-3359
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15029 | TX | Primary |
Addresses
Primary practice location
810 Frontage Road
Idalou, TX 79329
Mailing address
810 Frontage Road
Idalou, TX 79329
Phone (806) 892-2557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B1502901 | Other | TX | CHIP |
Other names 1
- Lannie E Devin
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15029 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073655429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 FRONTAGE ROAD",
"city": "IDALOU",
"state": "TX",
"postal_code": "79329",
"telephone_number": "806-892-2557",
"fax_number": "806-892-3359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 FRONTAGE ROAD",
"city": "IDALOU",
"state": "TX",
"postal_code": "79329",
"telephone_number": "806-892-2557",
"fax_number": "806-892-3359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVIN",
"first_name": "LANNIE",
"middle_name": "EARL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "15029",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIP",
"identifier": "B1502901",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LANNIE",
"last_name": "DEVIN",
"middle_name": "E",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Idalou, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.