Active NPI
Barrett Dustin Lane, PA-C
- Physician Assistant
- Fort Worth, TX
National Provider Identifier
1578793584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA06292
- Practice address
- 7257 Hawkins View Dr
Fort Worth, TX 76132-3921 - Phone
- (817) 735-9397
- Fax
- (817) 735-8340
- NPI assigned
- Jul 24, 2009
- Last updated
- Dec 6, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA06292 | TX | Primary |
| Medical Physician Assistant | 363AM0700X | PA06292 | TX | |
| Surgical Physician Assistant | 363AS0400X | PA06292 | TX |
Addresses
Primary practice location
7257 Hawkins View Dr
Fort Worth, TX 76132-3921
Mailing address
7257 Hawkins View Dr
Fort Worth, TX 76132-3921
Phone (817) 735-9397
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apmd LLC | Past | Accepting new patients | |
| Southwest Texas Two Medical Group, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1659950475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1578793584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7257 HAWKINS VIEW DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761323921",
"telephone_number": "817-735-9397",
"fax_number": "817-735-8340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7257 HAWKINS VIEW DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761323921",
"telephone_number": "817-735-9397",
"fax_number": "817-735-8340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "BARRETT",
"middle_name": "DUSTIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-24",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA06292",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA06292",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "PA06292",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.