Individual provider Active NPI

Lance P Forbes, DDS

  • General Practice Dentistry
  • Cedar Rapids, IA
National Provider Identifier
1699751073
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
07957 Issued in IA
Practice address
5815 Council St NE Ste D-1
Cedar Rapids, IA 52402-5893
Phone
(319) 390-3703
Fax
(319) 390-0525
NPI assigned
Dec 19, 2005
Last updated
Sep 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 07957 IA Primary

Addresses

Primary practice location

5815 Council St NE Ste D-1
Cedar Rapids, IA 52402-5893

Mailing address

5815 Council St NE Ste D-1
Cedar Rapids, IA 52402-5893
Phone (319) 390-3703

Other identifiers 1

IdentifierTypeStateIssuer
0176453MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1699751073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 COUNCIL ST NE STE D-1",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025893",
            "telephone_number": "319-390-3703",
            "fax_number": "319-390-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 COUNCIL ST NE STE D-1",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025893",
            "telephone_number": "319-390-3703",
            "fax_number": "319-390-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBES",
        "first_name": "LANCE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "07957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0176453",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.