Active NPI
Dwayne A Lanz, D.M.D.
- General Practice Dentistry
- Reading, PA
National Provider Identifier
1568522654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS027262-L
- Practice address
- 2128 Perkiomen Ave
Reading, PA 19606-1865 - Phone
- (610) 779-5123
- Fax
- (610) 779-9408
- NPI assigned
- Dec 11, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS027262-L | PA | Primary |
Addresses
Primary practice location
2128 Perkiomen Ave
Reading, PA 19606-1865
Mailing address
2128 Perkiomen Ave
Reading, PA 19606-1865
Phone (610) 779-5123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150618000497 | PA | Order and Referring Only - Oral Surgery | 7618288564 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS027262-L | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone Dental Studio LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Reading, PA
- NPI 1598688582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568522654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2128 PERKIOMEN AVE",
"city": "READING",
"state": "PA",
"postal_code": "196061865",
"telephone_number": "610-779-5123",
"fax_number": "610-779-9408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2128 PERKIOMEN AVE",
"city": "READING",
"state": "PA",
"postal_code": "196061865",
"telephone_number": "610-779-5123",
"fax_number": "610-779-9408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANZ",
"first_name": "DWAYNE",
"middle_name": "A",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS027262-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reading, PA
- Amar Lal, MD
- Lamanna-Doolely Plastic Surgery Associates, Inc.
- John V Lamanna, M.D.
- Lancaster General Medical Group (Penn Medicine Alvernia Medical & Counseling Center)
- Lancelot 'S Multicare Trans
- Jamie Ann Laporte, PA-C
- Allyssa Lascala, IHP
- Amanda Joan Laskoskie, CRNP
- John Lasky
- Amanda L. Latshaw, LCSW
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; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.