Individual provider Active NPI

Lane McEwan, D.M.D.

  • General Practice Dentistry
  • Newburgh, NY
National Provider Identifier
1699790329
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42259 Issued in NY
Practice address
5109 Route 9W
Newburgh, NY 12550-1952
Phone
(845) 561-3689
Fax
(845) 561-3689
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 42259 NY Primary

Addresses

Primary practice location

5109 Route 9W
Newburgh, NY 12550-1952

Mailing address

5109 Route 9W
Newburgh, NY 12550-1952
Phone (845) 561-3689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
42259NYMDGeneral Practice Dentistry
042259NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gentle Dental of Newburgh PLLC PastSince Sep 29, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699790329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 ROUTE 9W",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501952",
            "telephone_number": "845-561-3689",
            "fax_number": "845-561-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 ROUTE 9W",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501952",
            "telephone_number": "845-561-3689",
            "fax_number": "845-561-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEWAN",
        "first_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "42259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.