Lane and Associates II, DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4785 Issued in NC

Legal business name

LANE AND ASSOCIATES II, DDS PA

Practice address

100 N 10TH St
Box 546
Erwin, NC 28339-1802

Phone

(910) 897-4083

Fax

(910) 980-0240

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Tammy Moran

Title

Comptroller

Phone

(910) 814-2944

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417008442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N 10TH ST",
            "address_2": "BOX 546",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "283391802",
            "telephone_number": "910-897-4083",
            "fax_number": "910-980-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 10TH ST",
            "address_2": "BOX 546",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "283391802",
            "telephone_number": "910-897-4083",
            "fax_number": "910-980-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE AND ASSOCIATES II, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "910-814-2944",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1378581",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-NC HEALTH CHOICE",
            "identifier": "0203F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890203F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Johnson, PHARMD
• MD Abu Zahed Karim, M.D.
• Alison Moore Keene, MA
• Malik Kersey, MA, LPA
• Alyssa Lafave, PA-C
• Lane and Associates V, DDS PA
• Charles William Larrison
• Cynthia Dawn Lee, FNP
• Lifelink Medical Group PLLC
• Mainstreet and Kidsstreet of North Carolina PLLC

• General Practice Dentistry in Erwin, NC
• Providers in Erwin, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.