Nicole M Jane, DDS, Ms, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

53320 Issued in CA

Legal business name

NICOLE M JANE, DDS, MS, PC

Practice address

965 Tahoe Keys Blvd
South Lake Tahoe, CA 96150-7161

Phone

(530) 541-6585

NPI assigned

Nov 12, 2009

Last updated

Nov 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Marie Jane, DDS, MS

Title

Orthodontist/President

Phone

(530) 541-6585

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1073840039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 TAHOE KEYS BLVD",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507161",
            "telephone_number": "530-541-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 TAHOE KEYS BLVD",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507161",
            "telephone_number": "530-541-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE M JANE, DDS, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "JANE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ORTHODONTIST/PRESIDENT",
        "authorized_official_telephone_number": "530-541-6585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "53320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy NG, PHYSICAL THERAPIST
• Anh T Ngo, RPH
• Lam Nhat Nguyen, DDS
• Shane David Nibley
• Nicole H. Buell, D.D.S. Inc.
• Stepanie Ann Niederman, L.AC., DIPL. OF ACUP
• Elisabeth Nigrini, MD
• Peter Nocka
• Meagan Nordstrom, MD
• Daniel Arthur Norman, MD

• Dental Clinic/Center in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.