Active NPI
Junaid Anis Lakhani
- Dentist
- Lake Wales, FL
National Provider Identifier
1770077646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN23514
- Practice address
- 24185 US Highway 27
Lake Wales, FL 33859-7819 - Phone
- (863) 940-0209
- NPI assigned
- Jun 14, 2018
- Last updated
- Jun 14, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN23514 | FL | Primary |
Addresses
Primary practice location
24185 US Highway 27
Lake Wales, FL 33859-7819
Mailing address
9658 W McNab Rd
Tamarac, FL 33321-3364
Phone (347) 856-9785
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN23514 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528934400000",
"number": "1770077646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9658 W MCNAB RD",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333213364",
"telephone_number": "347-856-9785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24185 US HIGHWAY 27",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "338597819",
"telephone_number": "863-940-0209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKHANI",
"first_name": "JUNAID",
"middle_name": "ANIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-14",
"last_updated": "2018-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN23514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Wales, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.