NPIMap

Organization Active NPI

Thomas Joachim Laney MD DDS PS

  • Oral and Maxillofacial Surgery Clinic/Center
  • Moses Lake, WA
National Provider Identifier
1750535001
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
MD00024468 Issued in WA
Legal business name
THOMAS JOACHIM LANEY MD DDS PS
Practice address
1308 S Pioneer Way
Moses Lake, WA 98837-2410
Phone
(509) 765-5141
Fax
(509) 765-5891
NPI assigned
Nov 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Authorized official

Name
Dr. Thomas Joachim Laney, MD DDSNPI 1295943595
Title
Owner
Phone
(509) 765-5141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X MD00024468 WA Primary

Addresses

Primary practice location

1308 S Pioneer Way
Moses Lake, WA 98837-2410

Mailing address

1308 S Pioneer Way
Moses Lake, WA 98837-2410
Phone (509) 765-5141

Other identifiers 3

IdentifierTypeStateIssuer
5005343MedicaidWA
1035674MedicaidWA
0141393OtherWADEPT OF LABOR & INDUSTRIES

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1750535001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 S PIONEER WAY",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372410",
            "telephone_number": "509-765-5141",
            "fax_number": "509-765-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 S PIONEER WAY",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372410",
            "telephone_number": "509-765-5141",
            "fax_number": "509-765-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS JOACHIM LANEY MD DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "LANEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOACHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-765-5141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "MD00024468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5005343",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035674",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIES",
            "identifier": "0141393",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.