Active NPI
Patrice Lane, DDS
- Dentist
- Dublin, CA
National Provider Identifier
1396187746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 62660
- Practice address
- 7212 Regional St
Dublin, CA 94568 - Phone
- (925) 201-6011
- NPI assigned
- Jul 26, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 62660 | CA | Primary |
Addresses
Primary practice location
7212 Regional St
Dublin, CA 94568
Mailing address
651 W Waterman Dr
Mountain House, CA 95391-1439
Phone (254) 135-9819
Other practice location 1
1505 Bear Mountain Blvd
Arvin, CA 93203-1268
Phone (661) 854-3131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130815000386 | CA | Order and Referring Only - Oral Surgery | 1557503885 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- plane248801@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555632000000",
"number": "1396187746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 W WATERMAN DR",
"city": "MOUNTAIN HOUSE",
"state": "CA",
"postal_code": "953911439",
"telephone_number": "254-135-9819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7212 REGIONAL ST",
"city": "DUBLIN",
"state": "CA",
"postal_code": "94568",
"telephone_number": "925-201-6011"
}
],
"practiceLocations": [
{
"address_1": "1505 Bear Mountain Blvd",
"address_purpose": "LOCATION",
"city": "Arvin",
"state": "CA",
"postal_code": "932031268",
"country_code": "US",
"telephone_number": "661-854-3131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANE",
"first_name": "PATRICE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-26",
"last_updated": "2019-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "62660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.