Individual provider Active NPI

Lance Law, D.M.D.

  • Dentist
  • Naperville, IL
National Provider Identifier
1265544712
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019-026822 Issued in IL
Practice address
1001 E Chicago Ave Ste 143
Naperville, IL 60540-5500
Phone
(630) 369-0111
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019-026822 IL Primary

Addresses

Primary practice location

1001 E Chicago Ave Ste 143
Naperville, IL 60540-5500

Mailing address

1001 E Chicago Ave Ste 143
Naperville, IL 60540-5500
Phone (630) 369-0111

Other practice location 1

901 E Chapin St
Litchfield, IL 62056-1350
Phone (217) 324-3761

Other identifiers 1

IdentifierTypeStateIssuer
9179500MedicaidIL

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

LicenseStateTypeSpecialty
019-026822ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark V. Valentinas DDS,PC PastSince Nov 3, 2019 Accepting new patients
Macoupin County Public Health Department Past Accepting new patients
Comfort Care Family Dental, PC Dentist PastSince Nov 3, 2019 Accepting new patients

Organizations & group practices 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1265544712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E CHICAGO AVE STE 143",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405500",
            "telephone_number": "630-369-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E CHICAGO AVE STE 143",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405500",
            "telephone_number": "630-369-0111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 E Chapin St",
            "address_purpose": "LOCATION",
            "city": "Litchfield",
            "state": "IL",
            "postal_code": "620561350",
            "country_code": "US",
            "telephone_number": "217-324-3761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAW",
        "first_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-026822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9179500",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.