Lane and Associates IX DDS PA
Organization Active NPI General Practice Dentistry · Biscoe, NC
NPI 1679626832 · NPPES record last updated Feb 21, 2023
Key facts
- NPI
- 1679626832
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4785 (NC)
- Legal business name
- LANE AND ASSOCIATES IX DDS PA
- Practice address
- 131 Montgomery Xing
Biscoe, NC 27209 - Phone
- (910) 428-2048
- Fax
- (910) 428-2328
- NPI assigned
- Jan 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Alicia Marie Duffy
- Title
- Credentialing Manager
- Phone
- (919) 295-2757
Practitioners 18
-
Kellan Graham, DMD
-
Simon Sam Saba, DDS
-
Christie Anne Wright, DMD
-
Mazin E Aziz, DDS
-
Donald Lee Bailey Jr., D.D.S.
-
Stuart Briggs, DDS
-
Ryan Costner, DDS
-
Cortney Maria Davis, DDS
-
Krutiben Desai, D.D.S
-
Michelle K Hinds, DMD
-
Edward Joseph Howard, D.M.D.
-
Don Gilbert Lane, DDS
-
James P Lohr Jr., DMD
-
Michael Chad O'Brien, DDS
-
Kumjohn Tanvishut, DDS
-
Raleigh Thomas Wright III, D.D.S.
National Provider Directory
Locations
131 Montgomery Xing
Biscoe, NC 27209
Phone (910) 428-2048
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 4785 | NC | Yes |
Addresses
Primary practice location
131 Montgomery Xing
Biscoe, NC 27209
Mailing address
131 Montgomery Xing
Biscoe, NC 27209
Phone (910) 428-2048
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014KO | Other | NC | BCBS-NC HEALHCHOICE |
| 89014K | Medicaid | NC | |
| 1595139 | Other | NC | UNITED CONCORDIA |
NPI Registry JSON
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676937600000",
"number": "1679626832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 MONTGOMERY XING",
"city": "BISCOE",
"state": "NC",
"postal_code": "27209",
"telephone_number": "910-428-2048",
"fax_number": "910-428-2328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 MONTGOMERY XING",
"city": "BISCOE",
"state": "NC",
"postal_code": "27209",
"telephone_number": "910-428-2048",
"fax_number": "910-428-2328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANE AND ASSOCIATES IX DDS PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A",
"authorized_official_last_name": "DUFFY",
"authorized_official_first_name": "ALICIA",
"authorized_official_middle_name": "MARIE",
"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": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-NC HEALHCHOICE",
"identifier": "014KO",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89014K",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1595139",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Biscoe, NC
- Catherine Kennedy
- Kerr Drug Inc
- Joseph Korzelius
- Ted Kupsick
- Angela Cheri Kyker
- Alicia Noelle Lee
- Theresa Cranford Lee
- David Arthur Levenite
- Rebecca Locklear
- Monarch
All providers in Biscoe, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.