Active NPI
Lane Chiropractic and Medical Center
- Chiropractor
- Tunkhannock, PA
National Provider Identifier
1104097716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC004456L
- Legal business name
- LANE CHIROPRACTIC AND MEDICAL CENTER
- Practice address
- 166 W Tioga St
Tunkhannock, PA 18657-1466 - Phone
- (570) 836-2751
- Fax
- (570) 836-3290
- NPI assigned
- Mar 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sandra B Lane, DC
- Title
- Owner/Member
- Phone
- (570) 836-2751
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC004456L | PA | Primary |
Addresses
Primary practice location
166 W Tioga St
Tunkhannock, PA 18657-1466
Mailing address
PO Box 813
Tunkhannock, PA 18657-0813
Phone (570) 836-2751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07789366 | Medicaid | PA |
Other names 1
- Lane Chiropractic and Wellness Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
166 W Tioga St
Tunkhannock, PA 18657
Phone (570) 836-2751
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Tunkhannock, PA
- NPI 1720044480
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- NPI 1235165168
-
- Chiropractor
- Shavertown, PA
- NPI 1538566773
-
- Chiropractor
- Greenfield Township, PA
- NPI 1952796641
-
- Endocrinology, Diabetes & Metabolism Physician
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- NPI 1073536116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1356566400000",
"number": "1104097716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 813",
"city": "TUNKHANNOCK",
"state": "PA",
"postal_code": "186570813",
"telephone_number": "570-836-2751",
"fax_number": "570-836-3290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 W TIOGA ST",
"city": "TUNKHANNOCK",
"state": "PA",
"postal_code": "186571466",
"telephone_number": "570-836-2751",
"fax_number": "570-836-3290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANE CHIROPRACTIC AND MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-23",
"last_updated": "2012-12-27",
"status": "A",
"authorized_official_last_name": "LANE",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER/MEMBER",
"authorized_official_telephone_number": "570-836-2751",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "PA",
"license": "DC004456L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07789366",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lane Chiropractic and Wellness Center",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Tunkhannock, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.