Organization Active NPI

Lane Chiropractic Inc.

  • Clinic/Center
  • Silverdale, WA
National Provider Identifier
1780834937
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH00002614 Issued in WA
Legal business name
LANE CHIROPRACTIC INC.
Practice address
3100 NW Bucklin Hill Rd Ste 101
Silverdale, WA 98383-8359
Phone
(360) 613-0430
Fax
(360) 308-0937
NPI assigned
Sep 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Dr. Tony Lane, D.C.
Title
President
Phone
(360) 613-0430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CH00002614 WA Primary

Addresses

Primary practice location

3100 NW Bucklin Hill Rd Ste 101
Silverdale, WA 98383-8359

Mailing address

3100 NW Bucklin Hill Rd Ste 101
Silverdale, WA 98383-8359
Phone (360) 613-0430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081008000097 WA Part B Supplier - Clinic/Group Practice 8224106059 Receives reassigned benefits from 1 practitioner
Practice locations: Silverdale, WA

National Provider Directory

National Provider Directory

Locations

9220 Ridgetop Blvd NW
Ste 100
Silverdale, WA 98383
Phone (360) 308-0930

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1780834937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 NW BUCKLIN HILL RD STE 101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838359",
            "telephone_number": "360-613-0430",
            "fax_number": "360-308-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NW BUCKLIN HILL RD STE 101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838359",
            "telephone_number": "360-613-0430",
            "fax_number": "360-308-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-613-0430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "CH00002614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.