NPIMap

Organization Active NPI

Lane Dental, P.C.

  • General Practice Dentistry
  • Carol Stream, IL
National Provider Identifier
1548795206
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019029593 Issued in IL
Legal business name
LANE DENTAL, P.C.
Practice address
940 W Army Trail Rd
Carol Stream, IL 60188-9068
Phone
(630) 830-8330
Fax
(630) 823-8180
NPI assigned
May 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Authorized official

Name
Jennifer Stock
Title
Insurance Specialist
Phone
(920) 857-1966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019029593 IL Primary

Addresses

Primary practice location

940 W Army Trail Rd
Carol Stream, IL 60188-9068

Mailing address

940 W Army Trail Rd
Carol Stream, IL 60188-9068
Phone (630) 830-8330

National Provider Directory

National Provider Directory

Locations

940 W Army Trail Rd
Carol Stream, IL 60188
Phone (630) 830-8330

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1548795206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 W ARMY TRAIL RD",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601889068",
            "telephone_number": "630-830-8330",
            "fax_number": "630-823-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 W ARMY TRAIL RD",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601889068",
            "telephone_number": "630-830-8330",
            "fax_number": "630-823-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "STOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "920-857-1966"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019029593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carol Stream, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.