Individual provider Active NPI

Leander Lanier, D.D.S..

  • Endodontics
  • Blacksburg, VA
National Provider Identifier
1538211404
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
401410660 Issued in VA
Practice address
2609 Sheffield Drive
Blacksburg, VA 24060-6669
Phone
(540) 552-0101
Fax
(540) 552-0290
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 401410660 VA Primary

Addresses

Primary practice location

2609 Sheffield Drive
Blacksburg, VA 24060-6669

Mailing address

2609 Sheffield Dr
Blacksburg, VA 24060-8271
Phone (540) 552-0101

Other identifiers 1

IdentifierTypeStateIssuer
008300119MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
401410660VAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1538211404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 SHEFFIELD DR",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240608271",
            "telephone_number": "540-552-0101",
            "fax_number": "540-552-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 SHEFFIELD DRIVE",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606669",
            "telephone_number": "540-552-0101",
            "fax_number": "540-552-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANIER",
        "first_name": "LEANDER",
        "name_prefix": "Dr.",
        "credential": "D.D.S..",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "401410660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008300119",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.