Individual provider Active NPI

Melanie Gisela Lane

  • Dentist
  • West Palm Beach, FL
National Provider Identifier
1750028882
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN27567 Issued in FL
Practice address
1937 N Military TRL Ste U
West Palm Beach, FL 33409-4764
Phone
(561) 683-7699
NPI assigned
May 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12919 NC
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X DN27567 FL Primary

Addresses

Primary practice location

1937 N Military TRL Ste U
West Palm Beach, FL 33409-4764

Mailing address

19032 NW 23Rd CT
Pembroke Pines, FL 33029-5338
Phone (954) 383-3038

Other practice location 1

160 Tunnel Rd
Asheville, NC 28805-1853
Phone (828) 333-6179

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN27567FLMDDentist
12919NCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wang NC DMD PLLC General Practice PastSince May 1, 2022 Accepting new patients
Sage Dental of W. Palm Military Trail, P.a. Dentist PastSince May 7, 2023 Accepting new patients

Networks

  • Freedom Health HMO Network

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": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1750028882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19032 NW 23RD CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330295338",
            "telephone_number": "954-383-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937 N MILITARY TRL STE U",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334094764",
            "telephone_number": "561-683-7699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Tunnel Rd",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288051853",
            "country_code": "US",
            "telephone_number": "828-333-6179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "MELANIE",
        "middle_name": "GISELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12919",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN27567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.