Active NPI
Thomas Joachim Laney, D.D.S. , M.D.
- Oral & Maxillofacial Surgery (D.M.D.)
- Moses Lake, WA
National Provider Identifier
1295943595
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Dec 19, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- MD00024468
- Practice address
- 1308 S Pioneer Way
Moses Lake, WA 98837-2410 - Phone
- (509) 765-5141
- Fax
- (509) 765-5891
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DE00005663 | WA | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | MD00024468 | WA | Primary |
Addresses
Primary practice location
1308 S Pioneer Way
Moses Lake, WA 98837-2410
Mailing address
1308 S Pioneer Way
Moses Lake, WA 98837-2410
Phone (509) 765-5141
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1035674 | Medicaid | WA | |
| 141393 | Other | WA | DLI |
| 5005343 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2015 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00005663 | WA | MD | Oral and Maxillofacial Surgery (Dentist) |
| MD00024468 | WA | MD | Oral & Maxillofacial Surgery (D.M.D.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1295943595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 S PIONEER WAY",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988372410",
"telephone_number": "509-765-5141",
"fax_number": "509-765-5891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 S PIONEER WAY",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988372410",
"telephone_number": "509-765-5141",
"fax_number": "509-765-5891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANEY",
"first_name": "THOMAS",
"middle_name": "JOACHIM",
"credential": "D.D.S. , M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "WA",
"license": "DE00005663",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "WA",
"license": "MD00024468",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1035674",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DLI",
"identifier": "141393",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5005343",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moses Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.