Christopher J Lane DDS, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

042192 Issued in NY

Legal business name

CHRISTOPHER J LANE DDS, PLLC

Practice address

95 Church St
Suite 404
White Plains, NY 10601-1515

Phone

(914) 946-1249

NPI assigned

Aug 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Joseph Lane, BS, DDS

Title

Owner

Phone

(914) 946-1249

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1508098971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 CHURCH ST",
            "address_2": "SUITE 404",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011515",
            "telephone_number": "914-946-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 CHURCH ST",
            "address_2": "SUITE 404",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011515",
            "telephone_number": "914-946-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER J LANE DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-946-1249",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BS, DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "042192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01455985",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "D5M421",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Choura
• Mohammed S Chowdhury, DPM
• Christian John Inc
• Maureen Christiano
• Olympia Christoforatos
• Christopher J. Bruce, M.D., PLLC
• Peter Yung Chu, D.O
• Charlecia Chung
• Jiyon Chung, M.D.
• Mi Kyung Chung, D.M.D.

• Oral and Maxillofacial Surgery (Dentist) in White Plains, NY
• Providers in White Plains, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.