Lane and Associates Xiv DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4785 Issued in NC

Legal business name

LANE AND ASSOCIATES XIV DDS PA

Doing business as

Durham Family Dentistry

Practice address

1200 Broad St Ste 300
Durham, NC 27705-3573

Phone

(919) 286-6646

Fax

(919) 286-6668

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Alicia Duffy

Title

Credentialing Manager

Phone

(919) 295-2757

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Durham Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Allen Ruiz, DMD

  • General Practice Dentistry
  • Durham, NC
  • NPI 1447954995
  NPD

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1629122528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BROAD ST STE 300",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053573",
            "telephone_number": "919-286-6646",
            "fax_number": "919-286-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROAD ST STE 300",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053573",
            "telephone_number": "919-286-6646",
            "fax_number": "919-286-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE AND ASSOCIATES XIV DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "919-295-2757"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89016TG",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-NC HEALTHCHOICE",
            "identifier": "016YU",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Durham Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charity Landrum, PA
• Kerry Lee Landry, M.D.
• Jessica Renee Lands, LPA
• Andrew Paul Landstrom, M.D., PH.D.
• Lane and Associates VI DDS PA
• Lane to Change Counseling PLLC
• Felicia Lane-Carter
• Caley Jane Burrus Lane, MD, PHD
• Douglas Timothy Lane, PA-C
• Ilana Beth Lane, PH.D.

• General Practice Dentistry in Durham, NC
• Providers in Durham, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.