Lanier Burbank Dental Group Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

B40088 Issued in CO

Legal business name

LANIER BURBANK DENTAL GROUP INC.

Practice address

1400 W Olive Ave
Suite 201
Burbank, CA 91506-2409

Phone

(323) 461-9942

Fax

(323) 461-8147

NPI assigned

Apr 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Lee Lanier, DDS

Title

President/Ceo

Phone

(323) 461-9942

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kids Dental Kare Doing business as

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1295052785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 HOLLYWOOD BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276101",
            "telephone_number": "323-461-9942",
            "fax_number": "323-461-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W OLIVE AVE",
            "address_2": "SUITE 201",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062409",
            "telephone_number": "323-461-9942",
            "fax_number": "323-461-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANIER BURBANK DENTAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "323-461-9942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "B40088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B40088",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Dental Kare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carsen M Lane
• Kaylan Lane, DC
• Laurence Alan Lang, M.D.
• Lisa Langarica
• Anita Langer
• Susanna D Lansangan, M.D.
• Lao Medical Inc
• Aaron-James Lao, DO
• Stephany Lara-Sanchez
• Alfredo J Lara

• General Practice Dentistry in Burbank, CA
• Providers in Burbank, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.