Individual provider Active NPI

Eric Allen Lane, D.C.

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1205968302
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5141 Issued in AZ
Practice address
550 W Ina Rd
Suite 1
Tucson, AZ 85704-4496
Phone
(520) 742-7785
Fax
(520) 797-3200
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5141 AZ Primary

Addresses

Primary practice location

550 W Ina Rd
Suite 1
Tucson, AZ 85704-4496

Mailing address

550 W Ina Rd
Suite 1
Tucson, AZ 85704-4496
Phone (520) 742-7785

Other identifiers 1

IdentifierTypeStateIssuer
0241800OtherAZBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051005000484 AZ Practitioner - Chiropractic 3476588708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

550 W Ina Rd
Suite 1
Tucson, AZ 85704-4496
Phone (520) 742-7785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5141AZMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Foothills Inc. Chiropractor CurrentSince Jan 1, 2009 Accepting new patients

Locations

550 W Ina Rd
Tucson, AZ 85704
Phone (520) 742-7785

550 W Ina Rd
Ste 1
Tucson, AZ 85704
Phone (520) 742-7785

550 W Ina Rd
Ste D
Tucson, AZ 85704

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244160000000",
    "number": "1205968302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W INA RD",
            "address_2": "SUITE 1",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044496",
            "telephone_number": "520-742-7785",
            "fax_number": "520-797-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W INA RD",
            "address_2": "SUITE 1",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044496",
            "telephone_number": "520-742-7785",
            "fax_number": "520-797-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "ERIC",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2009-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0241800",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.