Active NPI
Sandra B Lane, D.C.
- Chiropractor
- Tunkhannock, PA
National Provider Identifier
1720044480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-004456-L
- Practice address
- 166 W Tioga St
Tunkhannock, PA 18657-1466 - Phone
- (570) 836-2751
- Fax
- (570) 836-3290
- NPI assigned
- Apr 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-004456-L | PA | Primary |
Addresses
Primary practice location
166 W Tioga St
Tunkhannock, PA 18657-1466
Mailing address
PO Box 813
166 West Tioga Street
Tunkhannock, PA 18657-0813
Phone (570) 836-2751
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012324490002 | Medicaid | PA | |
| 60656880 | Other | PA | STATE INDUSTRIAL ACCIDENT |
| 815631 | Other | PA | PPO NUMBER B3 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
166 W Tioga St
Tunkhannock, PA 18657-1466
Phone (570) 836-2751
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-004456-L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lane Chiropractic and Medical Center | Chiropractor | Current | Accepting new patients |
Locations
166 W Tioga St
Tunkhannock, PA 18657
Phone (570) 836-2751
Organizations & group practices 1
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.
-
- Chiropractor
- Tunkhannock, PA
- NPI 1104097716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377216000000",
"number": "1720044480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 813",
"address_2": "166 WEST TIOGA STREET",
"city": "TUNKHANNOCK",
"state": "PA",
"postal_code": "186570813",
"telephone_number": "570-836-2751",
"fax_number": "570-836-3290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 W TIOGA ST",
"city": "TUNKHANNOCK",
"state": "PA",
"postal_code": "186571466",
"telephone_number": "570-836-2751",
"fax_number": "570-836-3290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "SANDRA",
"middle_name": "B",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-21",
"last_updated": "2013-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC-004456-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012324490002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE INDUSTRIAL ACCIDENT",
"identifier": "60656880",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPO NUMBER B3",
"identifier": "815631",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tunkhannock, PA
- Brittany Kroptavich
- Dorothea Jane Kupstas, RN
- Barbara Elizabeth Lacey, REGISTERED NURSE
- Frederick C. Lally, D.D.S,
- Lane Chiropractic and Medical Center
- Dorothy Adele Lehman, RN
- Henry Hudson Lindner, M.D.
- Seth P Linker, MD
- Luzerne Wyoming County Mental Health Center #1
- Luzerne Wyoming County MH Center #1
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.