Active NPI
Jerry L Lanier DDS, Inc
Doing business as Kids 2 Dentist Dental Group
- Dentist
- Visalia, CA
National Provider Identifier
1356094155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- JERRY L LANIER DDS, INC
- Doing business as
- Kids 2 Dentist Dental Group
- Practice address
- 1814 N Dinuba Blvd
Visalia, CA 93291-3014 - Phone
- (323) 203-2564
- NPI assigned
- Feb 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerry Lee Lanier
- Title
- President/Owner
- Phone
- (323) 203-2564
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
1814 N Dinuba Blvd
Visalia, CA 93291-3014
Mailing address
5449 Hollywood Blvd Ste a
Los Angeles, CA 90027-3454
Phone (323) 203-2564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356489660 | Medicaid | CA |
Other names 1
- Kids 2 Dentist Dental Group
National Provider Directory
National Provider Directory- Tax ID family
- Jerry L Lanier DDS Inc
Other organizations with this tax ID 21
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Clovis, CA
- NPI 1073477824
-
dba Kids Dental Kare
- General Practice Dentistry
- Los Angeles, CA
- NPI 1629148895
Locations
1814 N Dinuba Blvd
Visalia, CA 93291
Phone (323) 203-2564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647475200000",
"number": "1356094155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5449 HOLLYWOOD BLVD STE A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900273454",
"telephone_number": "323-203-2564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1814 N DINUBA BLVD",
"city": "VISALIA",
"state": "CA",
"postal_code": "932913014",
"telephone_number": "323-203-2564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERRY L LANIER DDS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-01",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A",
"authorized_official_last_name": "LANIER",
"authorized_official_first_name": "JERRY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "323-203-2564"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356489660",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kids 2 Dentist Dental Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kids 2 Dentist Dental Group",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.