Organization Active NPI

Lane Family Chiropractic

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1356519425
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
FL 0008563 Issued in FL
Legal business name
LANE FAMILY CHIROPRACTIC
Practice address
1307 W Fletcher Ave
Tampa, FL 33612-3310
Phone
(813) 968-4293
NPI assigned
Feb 12, 2008
Last updated
Feb 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Dr. Thomas Michael Lane, D.C.NPI 1891719506
Title
Chiropractic Physician
Phone
(813) 968-4293

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X FL 0008563 FL Primary

Addresses

Primary practice location

1307 W Fletcher Ave
Tampa, FL 33612-3310

Mailing address

1307 W Fletcher Ave
Tampa, FL 33612-3310
Phone (813) 968-4293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041006001138 FL Part B Supplier - Clinic/Group Practice 4981663887 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

1307 W Fletcher Ave
Tampa, FL 33612
Phone (813) 968-4293

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1356519425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123310",
            "telephone_number": "813-968-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123310",
            "telephone_number": "813-968-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "813-968-4293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "FL 0008563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.