Lane & Associates Xxi, DDS PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

4785 Issued in NC

Legal business name

LANE & ASSOCIATES XXI, DDS PA

Practice address

4106 Wake Forest Rd
Suite 203
Raleigh, NC 27609-6398

Phone

(919) 277-0577

NPI assigned

Oct 28, 2011

Last updated

Oct 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Phillip Butts

Title

VP Contracts and Development

Phone

(919) 863-9763

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elias Haralambakis, D.D.S.

  • General Practice Dentistry
  • Lillington, NC
  • NPI 1306047832
  NPD (past)
• Daniel Wade Townsend, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Raleigh, NC
  • NPI 1982271466
  NPD (past)

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1275819708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 WAKE FOREST RD",
            "address_2": "SUITE 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096398",
            "telephone_number": "919-277-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 WAKE FOREST RD",
            "address_2": "SUITE 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096398",
            "telephone_number": "919-277-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE & ASSOCIATES XXI, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "BUTTS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "VP CONTRACTS AND DEVELOPMENT",
        "authorized_official_telephone_number": "919-863-9763"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4785",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "4785",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "4785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoneka Landis, LPCA
• Landmark Urology and Complementary Medicine, PA
• Annelise Barbara Yvonne Landreth, MSN, FNP
• Rachel Morgan Landreth, FNP-BC
• Lance Eric Landvater, MD
• Lane & Associates Xxii, DDS PA
• Lane and Associates XI, DDS PA
• Lane and Associates XII DDS PA
• Lane and Associates Xlii DDS PA
• Lane and Associates XX DDS PA

• Oral and Maxillofacial Surgery (Dentist) in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.