Organization Active NPI

Dori Lyn Lalanne

Doing business as Serenity

  • Prosthetic/Orthotic Supplier
  • Rancho Mirage, CA
National Provider Identifier
1588044184
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
C36397 Issued in CA
Legal business name
DORI LYN LALANNE
Doing business as
Serenity
Practice address
69930 Highway 111
Suite 102
Rancho Mirage, CA 92270-2850
Phone
(760) 699-8685
NPI assigned
Jun 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Authorized official

Name
Dori Lyn Lalanne, CMFNPI 1629245352
Title
Owner
Phone
(760) 699-8685

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X C36397 CA Primary

Addresses

Primary practice location

69930 Highway 111
Suite 102
Rancho Mirage, CA 92270-2850

Mailing address

69930 Highway 111
Suite 102
Rancho Mirage, CA 92270-2850
Phone (760) 699-8685

Other names 1

  • Serenity Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150724012121 CA DME Supplier - Medical Supply Company 9537472188 Practice locations: Rancho Mirage, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Dori Lyn Lalanne69930 Highway 111, Rancho Mirage, CA 92270-2854(760) 699-8685 Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Sep 19, 2014

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1588044184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69930 HIGHWAY 111",
            "address_2": "SUITE 102",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702850",
            "telephone_number": "760-699-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69930 HIGHWAY 111",
            "address_2": "SUITE 102",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702850",
            "telephone_number": "760-699-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORI LYN LALANNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "LALANNE",
        "authorized_official_first_name": "DORI",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-699-8685",
        "authorized_official_credential": "CMF"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "C36397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.