Organization Active NPI

Lane Family Dental, LLC

  • General Practice Dentistry
  • Wasilla, AK
National Provider Identifier
1225613813
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LANE FAMILY DENTAL, LLC
Practice address
1301 E Palmer Wasilla Hwy Ste 600
Wasilla, AK 99654-7256
Phone
(907) 373-2200
NPI assigned
Mar 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Authorized official

Name
Jason Lane, DDSNPI 1932582327
Title
Owner/Dentist
Phone
(907) 373-2200

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1301 E Palmer Wasilla Hwy Ste 600
Wasilla, AK 99654-7256

Mailing address

1301 E Palmer Wasilla Hwy Ste 600
Wasilla, AK 99654-7256
Phone (907) 373-2200

National Provider Directory

National Provider Directory

Locations

1301 E Palmer Wasilla Hwy
Ste 600
Wasilla, AK 99654
Phone (907) 373-2200

Practitioners & affiliated clinicians

Practitioners 1

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": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1225613813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E PALMER WASILLA HWY STE 600",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547256",
            "telephone_number": "907-373-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E PALMER WASILLA HWY STE 600",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547256",
            "telephone_number": "907-373-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "907-373-2200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.