Diane Lam Geise, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

6107 Issued in AL

Practice address

577 Hughes Rd
Madison, AL 35758-8979

Phone

(256) 461-8607

NPI assigned

Jun 30, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679988554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 HUGHES RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588979",
            "telephone_number": "256-461-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 HUGHES RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588979",
            "telephone_number": "256-461-8607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8263 Madison Blvd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357582050",
            "country_code": "US",
            "telephone_number": "256-774-7228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEISE",
        "first_name": "DIANE",
        "middle_name": "LAM",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "6107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Robert L Geist, PH.D.
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• Amanda Kae Gennick, MSPT
• Michaela Henderson Gentle, PA-C

• Dentist in Madison, AL
• Providers in Madison, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.