NPIMap

Organization Active NPI

Lance Osborne DDS, PA

  • General Practice Dentistry
  • Fayetteville, AR
National Provider Identifier
1609035534
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LANCE OSBORNE DDS, PA
Practice address
245 W Van Asche Dr
Fayetteville, AR 72703-4973
Phone
(479) 442-4051
Fax
(479) 442-5907
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Authorized official

Name
Dr. Lance David Osborne, DDSNPI 1760681423
Title
Owner
Phone
(479) 442-4051

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

245 W Van Asche Dr
Fayetteville, AR 72703-4973

Mailing address

245 W Van Asche Dr
Fayetteville, AR 72703-4973
Phone (479) 442-4051

National Provider Directory

National Provider Directory

Locations

245 W Van Asche Dr
Fayetteville, AR 72703
Phone (479) 442-4051

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": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1609035534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W VAN ASCHE DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034973",
            "telephone_number": "479-442-4051",
            "fax_number": "479-442-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W VAN ASCHE DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034973",
            "telephone_number": "479-442-4051",
            "fax_number": "479-442-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCE OSBORNE DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-442-4051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.