Lane Eddleman, DDS, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LANE EDDLEMAN, DDS, LLC

Doing business as

Eddleman Dental

Practice address

2511 Broadmoor Blvd
Monroe, LA 71201

Phone

(318) 322-2013

Fax

(318) 322-2048

NPI assigned

Jan 27, 2015

Last updated

Oct 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jenny Garcia-Rocha

Title

Payer Enrollment Manager

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• EDDLEMAN DENTAL Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 2

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.

• Thomas Lane Eddleman, DDS

  • General Practice Dentistry
  • Monroe, LA
  • NPI 1568537793
  NPD
• Michael Franklin Nolan Sr., DDS

  • General Practice Dentistry
  • Monroe, LA
  • NPI 1437237641
  NPD (past)

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1588054779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 BROADMOOR BLVD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-322-2013",
            "fax_number": "318-322-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 BROADMOOR BLVD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-322-2013",
            "fax_number": "318-322-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE EDDLEMAN, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "GARCIA-ROCHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "PAYER ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1860590",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1855626",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDDLEMAN DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rajesh Lamichhane, MD
• Tiffany Lampkin, NURSE
• Lamy Lane Family Medicine LLC
• Jinesha Nicloe Landers
• Tiffany Lynn Landry, CIT
• Jessica Lane
• Scarlett Lange
• Michael Langiulli, MD
• Wendy Margaret Langley, PA-C
• Jesse Merwin Lapietra Jr., M.D.

• General Practice Dentistry in Monroe, LA
• Providers in Monroe, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.