Individual provider Active NPI

Daniel G.J. Lane, D.C.

  • Chiropractor
  • Salisbury, MD
National Provider Identifier
1366555302
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03401 Issued in MD
Practice address
1324 Belmont Ave
Suite 102
Salisbury, MD 21804-4543
Phone
(410) 219-5155
Fax
(410) 219-3579
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S03401 MD Primary

Addresses

Primary practice location

1324 Belmont Ave
Suite 102
Salisbury, MD 21804-4543

Mailing address

121 Nina LN
Fruitland, MD 21826-1901
Phone (410) 829-9201

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070305000220 MD Practitioner - Chiropractic 1557463932 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S03401MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Delmarva Chiropractic, P.C. Chiropractor CurrentSince Jan 8, 2007 Accepting new patients
Renwu Chen LLC PastSince Oct 31, 2018 Accepting new patients

Locations

1324 Belmont Ave
Ste 102
Salisbury, MD 21804
Phone (410) 219-5155

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1366555302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 NINA LN",
            "city": "FRUITLAND",
            "state": "MD",
            "postal_code": "218261901",
            "telephone_number": "410-829-9201",
            "fax_number": "410-219-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 BELMONT AVE",
            "address_2": "SUITE 102",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218044543",
            "telephone_number": "410-219-5155",
            "fax_number": "410-219-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "DANIEL",
        "middle_name": "G.J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.