Jonathan Lane, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32805 Issued in TX

Practice address

1901 W William Cannon Dr Ste 137
Austin, TX 78745-5327

Phone

(765) 749-7264

Fax

(512) 441-1799

NPI assigned

Mar 25, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1104288455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 KANSAS RIVER DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787458092",
            "telephone_number": "765-749-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W WILLIAM CANNON DR STE 137",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455327",
            "telephone_number": "765-749-7264",
            "fax_number": "512-441-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-25",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32805",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Lane, RN
• Che'Vun R Lane, LCDC
• Dennis D Lane, D.C.
• Divine NE' Colle Lane, MS, LPC-A
• Jeffery Ray Lane, O.D.
• Kathryn Morgan Lane, BCBA, LBA, MA
• Larry D Lane, D.D.S.
• Laura A Lane, MA, FAAA
• Meghan Lane
• Lani Lanfear

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.