Thomas Edward Lantz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

001764 Issued in NM

Practice address

13140 Central Ave SE
E
Albuquerque, NM 87123-5547

Phone

(515) 292-3323

Fax

(505) 292-7327

NPI assigned

Aug 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Perfect Teeth - Four Hills P.C.

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1427179852
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467444745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14307 WINDSOR PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871232420",
            "telephone_number": "505-323-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13140 CENTRAL AVE SE",
            "address_2": "E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871235547",
            "telephone_number": "515-292-3323",
            "fax_number": "505-292-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTZ",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "001764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Lanier, LPN
• Aditya Mohith Lankalapalli, MD
• Stephanie Lankowski
• Vicki Lannerholm, PSYD (ABD) LPCC
• Rachel Lantz, BMS
• Grace Noelle Lapagila
• Krystal Lapahie
• Ivy Lapaz
• Sandra Cheryl Lapham, MD, MPH, FASAM
• Bret Lapointe, MD

• General Practice Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.