NPIMap

Organization Active NPI

Lane and Associates I DDS PA

  • General Practice Dentistry
  • Fuquay Varina, NC
National Provider Identifier
1154336642
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4785 Issued in NC
Legal business name
LANE AND ASSOCIATES I DDS PA
Practice address
1213 N Main St
Fuquay Varina, NC 27526-2616
Phone
(919) 552-9711
Fax
(919) 552-2157
NPI assigned
Jul 31, 2006
Last updated
Dec 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Alicia Duffy
Title
Credentialing Manager
Phone
(919) 292-2757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4785 NC Primary

Addresses

Primary practice location

1213 N Main St
Fuquay Varina, NC 27526-2616

Mailing address

1213 N Main St
Fuquay Varina, NC 27526-2616
Phone (919) 552-9711

Other identifiers 1

IdentifierTypeStateIssuer
890147AMedicaidNC

National Provider Directory

National Provider Directory

Locations

1213 N Main St
Fuquay Varina, NC 27526
Phone (910) 814-2944

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1154336642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 N MAIN ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262616",
            "telephone_number": "919-552-9711",
            "fax_number": "919-552-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 N MAIN ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262616",
            "telephone_number": "919-552-9711",
            "fax_number": "919-552-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE AND ASSOCIATES I DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "919-292-2757"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890147A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.