NPIMap

Organization Active NPI

Jerry L Lanier DDS, Inc

  • Dentist
  • Fresno, CA
National Provider Identifier
1487307286
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JERRY L LANIER DDS, INC
Practice address
460 E Shaw Ave
Fresno, CA 93710-7602
Phone
(323) 203-2564
NPI assigned
Feb 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Jerry Lee Lanier
Title
President, Owner
Phone
(323) 203-2564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

460 E Shaw Ave
Fresno, CA 93710-7602

Mailing address

5449 Hollywood Blvd Ste a
Los Angeles, CA 90027-3454
Phone (323) 203-2564

Other names 1

  • Kids 2 Dentist Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jerry L Lanier DDS Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1487307286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5449 HOLLYWOOD BLVD STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900273454",
            "telephone_number": "323-203-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 E SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107602",
            "telephone_number": "323-203-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY L LANIER DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-03-17",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "323-203-2564"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids 2 Dentist Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kids 2 Dentist Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.