Lane and Associates IV

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4785 Issued in NC

Legal business name

LANE AND ASSOCIATES IV

Practice address

315 Highway 55 West
Box 180
Mount Olive, NC 28365

Phone

(919) 658-9555

Fax

(919) 658-1009

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

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": "1437200417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 HIGHWAY 55 WEST",
            "address_2": "BOX 180",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "28365",
            "telephone_number": "919-658-9555",
            "fax_number": "919-658-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 HIGHWAY 55 WEST",
            "address_2": "BOX 180",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "28365",
            "telephone_number": "919-658-9555",
            "fax_number": "919-658-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE AND ASSOCIATES IV",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-NC HEALTHCHOICE",
            "identifier": "0207F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890207F",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1378584",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kommunikate Plus Inc
• Kommunikate Plus, Inc.
• Laboratory Corporation of America Holdings
• Lisa R Lafata
• Courtney Lambert, MS
• Karen Lane, LPTA
• Randee Lanier
• Latterdays LTC Inc
• Rebecca Laverick, LAT ATC
• Jennifer Carter Lewis, SPEECH PATHOLOGIST

• All providers in Mount Olive, NC
• 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.