NPIMap

Organization Active NPI

Brittany a Lane DDS MSD LLC

Doing business as Indy East Periodontics

  • Periodontics
  • Indianapolis, IN
National Provider Identifier
1326783721
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
BRITTANY A LANE DDS MSD LLC
Doing business as
Indy East Periodontics
Practice address
115 N Shortridge Rd Ste 100
Indianapolis, IN 46219-4917
Phone
(317) 357-2235
Fax
(317) 357-2210
NPI assigned
Apr 29, 2022
Last updated
Apr 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Authorized official

Name
Brittany Lane, DDS MSDNPI 1295172740
Title
Owner
Phone
(317) 357-2235

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X NU Primary

Addresses

Primary practice location

115 N Shortridge Rd Ste 100
Indianapolis, IN 46219-4917

Mailing address

115 N Shortridge Rd Ste 100
Indianapolis, IN 46219-4917
Phone (317) 357-2235

Other names 1

  • Indy East Periodontics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1326783721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N SHORTRIDGE RD STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194917",
            "telephone_number": "317-357-2235",
            "fax_number": "317-357-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N SHORTRIDGE RD STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194917",
            "telephone_number": "317-357-2235",
            "fax_number": "317-357-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITTANY A LANE DDS MSD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-357-2235",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indy East Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.