Lani Cook Deibert, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

#2271 Issued in MT

Practice address

120 N 19TH Ave Ste H
Bozeman, MT 59718-3920

Phone

(406) 585-8701

NPI assigned

Nov 17, 2006

Last updated

Nov 6, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Lani Cook McLane Former name

Medicare fee-for-service enrollment

Enrolled in MT

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

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1477627032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 DEREK WAY",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187304",
            "telephone_number": "406-570-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N 19TH AVE STE H",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183920",
            "telephone_number": "406-585-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEIBERT",
        "first_name": "LANI",
        "middle_name": "COOK",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "#2271",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-4032",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANI",
            "last_name": "MCLANE",
            "middle_name": "COOK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vicki Joy Deboer, LCSW
• Sophia Decleene
• Brett Jay Decou, D.C.
• Elizabeth Jennie Defanti
• Paloma Regina Defuentes, N.D.
• Mark C Deibert, MD
• Camille Del Duca
• James Marion Del Duca III, LAC-CANDIDATE
• Rebecca Delaittre McCarty, LCPC
• Kyle David Delamielleure, DC

• Dentist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Dentist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.