Lacey Earl Gane II, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4712 Issued in NC

Practice address

4309 Ludgate Street
Lumberton, NC 28358

Phone

(910) 738-2473

Fax

(910) 739-6246

NPI assigned

Apr 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gane & Karshner DDS PA

  • Dentist
  • Lumberton, NC
  • NPI 1942420179
  NPD (past) Authorized official

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275656704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 BEE GEE ROAD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "28358",
            "telephone_number": "910-738-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 LUDGATE STREET",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "28358",
            "telephone_number": "910-738-2473",
            "fax_number": "910-739-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANE",
        "first_name": "LACEY",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "4712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8993076",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Lyn Gaines, PA
• Alisa Lynn Galeana, PT
• Gabrielle Gallagher, DO
• Madeline Louise Galloway, DO
• Gane & Karshner DDS PA
• Maria Emilia Corazon Garcia, MD
• William Gartlan, DO
• Boyd Bennett Gasque Jr., M.D.
• Jasmine Elizabeth Gaston, MD
• Kirsten Gateless, DO

• Dentist in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.