Active NPI
H. Lance Donald DDS
- Endodontics
- West Monroe, LA
National Provider Identifier
1629327507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 4777
- Legal business name
- H. LANCE DONALD DDS
- Practice address
- 106 Professional Dr
West Monroe, LA 71291-5332 - Phone
- (318) 324-0080
- Fax
- (318) 324-0087
- NPI assigned
- Sep 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Henry Lance Donald, DDS
- Title
- President/Endodontist
- Phone
- (318) 324-0080
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 4777 | LA | Primary |
Addresses
Primary practice location
106 Professional Dr
West Monroe, LA 71291-5332
Mailing address
106 Professional Dr
West Monroe, LA 71291-5332
Phone (318) 324-0080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1847763 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
106 Professional Dr
West Monroe, LA 71291
Phone (318) 324-0080
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endodontics
- West Monroe, LA
- NPI 1417026279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346889600000",
"number": "1629327507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 PROFESSIONAL DR",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712915332",
"telephone_number": "318-324-0080",
"fax_number": "318-324-0087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 PROFESSIONAL DR",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712915332",
"telephone_number": "318-324-0080",
"fax_number": "318-324-0087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "H. LANCE DONALD DDS",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-06",
"last_updated": "2012-09-06",
"status": "A",
"authorized_official_last_name": "DONALD",
"authorized_official_first_name": "HENRY",
"authorized_official_middle_name": "LANCE",
"authorized_official_title_or_position": "PRESIDENT/ENDODONTIST",
"authorized_official_telephone_number": "318-324-0080",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "LA",
"license": "4777",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1847763",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.