Nicola Lanese, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

18063 Issued in TX

Practice address

6502 Bandera Rd
Ste 201
San Antonio, TX 78238-1454

Phone

(210) 684-5040

Fax

(210) 682-7785

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lanese Family Dental,PA

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1023387800
  NPD (past)
• Tam N Issa-Abbas LLC

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1952760886
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801905500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 BANDERA RD",
            "address_2": "STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381454",
            "telephone_number": "210-684-5040",
            "fax_number": "210-682-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 BANDERA RD",
            "address_2": "STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381454",
            "telephone_number": "210-684-5040",
            "fax_number": "210-682-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANESE",
        "first_name": "NICOLA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "18063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Lane, D.D.S
• Richard Gary Lane II, M.D.
• Savannah Jacqueline Laneaux, APRN-CNM
• Aspen Smith Laneman, M.D.
• Lanese Family Dental,PA
• Jared A Laney, MD, FNP
• Laurel Laney, RN
• Amy S Lang, M.D.
• Gary Lang, LPC
• Marina Lang, PT

• Dentist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dentist in Texas

• 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.