Organization Active NPI

Don G Lane DDS,PLLC

  • Dentist
  • Erwin, NC
National Provider Identifier
1154532935
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4785 Issued in NC
Legal business name
DON G LANE DDS,PLLC
Practice address
598 E Jackson Blvd
Erwin, NC 28339-9629
Phone
(910) 892-4535
Fax
(910) 892-0255
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Tammy T Moran
Title
Corporate Manager
Phone
(910) 892-4535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4785 NC Primary

Addresses

Primary practice location

598 E Jackson Blvd
Erwin, NC 28339-9629

Mailing address

596B East Jackson Blvd
Erwin, NC 28339
Phone (910) 892-4535

Other names 1

  • Denture Makers Doing business as

National Provider Directory

National Provider Directory

Locations

596B E Jackson Blvd
Erwin, NC 28339
Phone (910) 892-4535

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154532935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596B EAST JACKSON BLVD",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "28339",
            "telephone_number": "910-892-4535",
            "fax_number": "910-892-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 E JACKSON BLVD",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "283399629",
            "telephone_number": "910-892-4535",
            "fax_number": "910-892-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON G LANE DDS,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CORPORATE MANAGER",
        "authorized_official_telephone_number": "910-892-4535",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "4785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denture Makers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Erwin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.