Individual provider Active NPI

Christopher Michael Lance, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Everett, PA
National Provider Identifier
1710906300
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS030151L Issued in PA
Practice address
138 Memorial Dr
Everett, PA 15537-7028
Phone
(814) 623-1022
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

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
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS030151L PA Primary

Addresses

Primary practice location

138 Memorial Dr
Everett, PA 15537-7028

Mailing address

138 Memorial Dr
Everett, PA 15537-7028
Phone (814) 623-1022

Other identifiers 3

IdentifierTypeStateIssuer
P00194477OtherPAMEDICARE RAILROAD
65950OtherPAGEISINGER HEALTH PLAN
217998OtherPAUPMC HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050307000049 PA Practitioner - Oral Surgery 2961456678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

901 S Logan Blvd
Hollidaysburg, PA 16648-3035
Phone (814) 944-2802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oral Surgery Associates of Central Pennsylvania, PC Oral and Maxillofacial Surgery CurrentSince Jun 27, 2001 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

138 Memorial Dr
Everett, PA 15537
Phone (814) 623-1022

901 S Logan Blvd
Hollidaysburg, PA 16648
Phone (814) 944-2802

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710906300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 MEMORIAL DR",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155377028",
            "telephone_number": "814-623-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 MEMORIAL DR",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155377028",
            "telephone_number": "814-623-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCE",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS030151L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00194477",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "65950",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN",
            "identifier": "217998",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, PA

Sources for this page

Verify at the official NPI Registry.