Charles B Lanning Jr., M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD14170 Issued in TN

Practice address

1421 W Baddour Pkwy
Suite B
Lebanon, TN 37087-2513

Phone

(615) 449-6780

Fax

(615) 449-1929

NPI assigned

Jul 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760405500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 W BADDOUR PKWY",
            "address_2": "SUITE B",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872513",
            "telephone_number": "615-449-6780",
            "fax_number": "615-449-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 W BADDOUR PKWY",
            "address_2": "SUITE B",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872513",
            "telephone_number": "615-449-6780",
            "fax_number": "615-449-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANNING",
        "first_name": "CHARLES",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD14170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3006878",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Kutsulis
• Lindsey Lackey, FNP-BC
• Allison Marie Lane
• Chandelle Lanier-Hackett, PT
• Amanda Kelley Lankford, DPT
• Marcus D Large
• Larimore C. Warren, M.D., P.C.
• Teresa K. Larkins, DMD
• Lindsey Nicole Lattimore, FNP-C
• Jennifer Rippetoe Lawrence, MS, ATC

• Specialist in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.