Active NPI
Jerry L Lanier DDS Inc
Doing business as Kids Dental Kare
- Dentist
- Panorama City, CA
National Provider Identifier
1235442930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40088
- Legal business name
- JERRY L LANIER DDS INC
- Doing business as
- Kids Dental Kare
- Practice address
- 8214 - 8216 Van Nuys Blvd
Panorama City, CA 91402 - Phone
- (323) 345-0337
- NPI assigned
- Jul 22, 2010
- Last updated
- Jul 22, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jerry L Lanier, DDS
- Title
- Ceo/President
- Phone
- (323) 345-0337
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 40088 | CA | Primary |
Addresses
Primary practice location
8214 - 8216 Van Nuys Blvd
Panorama City, CA 91402
Mailing address
8214 - 8216 Van Nuys Blvd
Panorama City, CA 91402
Phone (323) 345-0337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356489660 | Medicaid | CA |
Other names 1
- Kids Dental Kare
National Provider Directory
National Provider Directory- Tax ID family
- Star Tek Adult Dental Group
Other organizations with this tax ID 21
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Clovis, CA
- NPI 1073477824
-
dba Kids Dental Kare
- General Practice Dentistry
- Los Angeles, CA
- NPI 1629148895
-
dba Kids Dental Kare
- General Practice Dentistry
- Los Angeles, CA
- NPI 1982738803
Locations
8214 Van Nuys Blvd
Panorama City, CA 91402
Phone (323) 345-0337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279756800000",
"number": "1235442930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8214 - 8216 VAN NUYS BLVD",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "91402",
"telephone_number": "323-345-0337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8214 - 8216 VAN NUYS BLVD",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "91402",
"telephone_number": "323-345-0337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERRY L LANIER DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-22",
"last_updated": "2010-07-22",
"status": "A",
"authorized_official_last_name": "LANIER",
"authorized_official_first_name": "JERRY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "323-345-0337",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "40088",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356489660",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kids Dental Kare",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Panorama City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.