Active NPI
Megan Marie Lanie, DMD
- General Practice Dentistry
- Phoenix, AZ
National Provider Identifier
1770145195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D010757
- Practice address
- 15215 S 48TH St Ste 113
Phoenix, AZ 85044-9137 - Phone
- (480) 961-3330
- NPI assigned
- Jul 5, 2019
- Last updated
- Jul 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019032230 | IL | |
| General Practice Dentistry | 1223G0001X | D010757 | AZ | Primary |
Addresses
Primary practice location
15215 S 48TH St Ste 113
Phoenix, AZ 85044-9137
Mailing address
15215 S 48TH St Ste 113
Phoenix, AZ 85044-9137
Phone (480) 961-3330
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D010757 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lanie Dental LLC | Dentist | Current | Accepting new patients |
| Ash Dental PC | Dentist | Past | Accepting new patients |
| Pinnacle Modern Dentistry, LLP | Dentist | Past | Accepting new patients |
Locations
15215 S 48th St
Ste 113
Phoenix, AZ 85044
Phone (480) 961-3330
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1770145195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15215 S 48TH ST STE 113",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850449137",
"telephone_number": "480-961-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15215 S 48TH ST STE 113",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850449137",
"telephone_number": "480-961-3330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANIE",
"first_name": "MEGAN",
"middle_name": "MARIE",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-05",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019032230",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D010757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.