Individual provider Active NPI

Charles John Lalane, DMD

  • General Practice Dentistry
  • Boynton Beach, FL
National Provider Identifier
1780044149
Registry record updated Aug 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN22043 Issued in FL
Practice address
832 SW 36TH Ave
Boynton Beach, FL 33435-8514
Phone
(561) 685-1142
NPI assigned
Feb 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X DN22043 FL Primary

Addresses

Primary practice location

832 SW 36TH Ave
Boynton Beach, FL 33435-8514

Mailing address

2521 S Federal Hwy
Boynton Beach, FL 33435
Phone (561) 735-3200

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
DN22043FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Charles J Lalane DMD LLC General Practice CurrentSince Jan 7, 2024 Accepting new patients

Locations

2521 S Federal Hwy
Boynton Beach, FL 33435
Phone (561) 732-3079

Organizations & group practices 1

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": "1456617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502409600000",
    "number": "1780044149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 S FEDERAL HWY",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33435",
            "telephone_number": "561-735-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 SW 36TH AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334358514",
            "telephone_number": "561-685-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALANE",
        "first_name": "CHARLES",
        "middle_name": "JOHN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-28",
        "last_updated": "2017-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2017; 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.