Lane & Associates Xxii, DDS PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

4785 Issued in NC

Legal business name

LANE & ASSOCIATES XXII, DDS PA

Practice address

4106 Wake Forest Rd
Suite 201
Raleigh, NC 27609-6398

Phone

(919) 277-0788

NPI assigned

Nov 1, 2011

Last updated

Nov 1, 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 1

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.

• Thomas Brader, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Raleigh, NC
  • NPI 1053847343
  NPD (past)
• Travis L Edwards, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Raleigh, NC
  • NPI 1477781813
  NPD (past)

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1285910455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 WAKE FOREST RD",
            "address_2": "SUITE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096398",
            "telephone_number": "919-277-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 WAKE FOREST RD",
            "address_2": "SUITE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096398",
            "telephone_number": "919-277-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE & ASSOCIATES XXII, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "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": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "4785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landmark Urology and Complementary Medicine, PA
• Annelise Barbara Yvonne Landreth, MSN, FNP
• Rachel Morgan Landreth, FNP-BC
• Lance Eric Landvater, MD
• Lane & Associates Xxi, 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
• Lane and Associates Xxxiii DDS PA

• Orthodontics and Dentofacial Orthopedics Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.