Active NPI
Jeffrey C Laney, DDS
- General Practice Dentistry
- Meridian, ID
National Provider Identifier
1265449565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D1691
- Practice address
- 780 W Cherry LN
Meridian, ID 83642-1617 - Phone
- (208) 888-4711
- Fax
- (208) 888-0308
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D1691 | ID | Primary |
Addresses
Primary practice location
780 W Cherry LN
Meridian, ID 83642-1617
Mailing address
780 W Cherry LN
Meridian, ID 83642-1617
Phone (208) 888-4711
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1009472 | Other | ID | REGENCE BLUE SHIELD OF ID |
| 6D287 | Other | ID | BLUE CROSS OF ID-MIDD |
| D1961 | Other | ID | DELTA DENTAL OF ID |
| 60764 | Other | ID | BLUE CROSS OF ID-MER |
| 134932 | Other | ID | TRI-CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D1691 | ID | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meridian Dental, PLLC | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Meridian, ID
- NPI 1295741957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1265449565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 W CHERRY LN",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421617",
"telephone_number": "208-888-4711",
"fax_number": "208-888-0308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 W CHERRY LN",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421617",
"telephone_number": "208-888-4711",
"fax_number": "208-888-0308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANEY",
"first_name": "JEFFREY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "D1691",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD OF ID",
"identifier": "1009472",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ID-MIDD",
"identifier": "6D287",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF ID",
"identifier": "D1961",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ID-MER",
"identifier": "60764",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRI-CARE",
"identifier": "134932",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.