Active NPI
Arthur J. Lane, D.D.S.
- Endodontics
- Aventura, FL
National Provider Identifier
1497977433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 4125
- Practice address
- 19495 Biscayne Blvd.
Suite #404
Aventura, FL 33180 - Phone
- (305) 933-0001
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 4125 | FL | Primary |
Addresses
Primary practice location
19495 Biscayne Blvd.
Suite #404
Aventura, FL 33180
Mailing address
19495 Biscayne Blvd.
Suite #404
Aventura, FL 33180
Phone (305) 933-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 11, 2018 through Sep 11, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4125 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aventura Endodontic Group, LLC | Endodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Endodontics
- Aventura, FL
- NPI 1962658583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497977433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19495 BISCAYNE BLVD.",
"address_2": "SUITE #404",
"city": "AVENTURA",
"state": "FL",
"postal_code": "33180",
"telephone_number": "305-933-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19495 BISCAYNE BLVD.",
"address_2": "SUITE #404",
"city": "AVENTURA",
"state": "FL",
"postal_code": "33180",
"telephone_number": "305-933-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "ARTHUR",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "4125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aventura, FL
Sources for this page
- 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.