NPIMap

Organization Active NPI

Lane and Associates XI, DDS PA

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1801940788
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4785 Issued in NC
Legal business name
LANE AND ASSOCIATES XI, DDS PA
Practice address
8961 Harvest Oaks Dr
Raleigh, NC 27615-2077
Phone
(919) 676-7777
Fax
(919) 676-7947
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Tammy Moran
Title
Comptroller
Phone
(910) 814-2944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 4785 NC Primary

Addresses

Primary practice location

8961 Harvest Oaks Dr
Raleigh, NC 27615-2077

Mailing address

8961 Harvest Oaks Dr
Raleigh, NC 27615-2077
Phone (919) 676-7777

Other identifiers 1

IdentifierTypeStateIssuer
016YHOtherNCBCBS-NC HEALTHCHOICE

National Provider Directory

National Provider Directory

Locations

8961 Harvest Oaks Dr
Raleigh, NC 27615
Phone (919) 676-7777

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801940788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8961 HARVEST OAKS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152077",
            "telephone_number": "919-676-7777",
            "fax_number": "919-676-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8961 HARVEST OAKS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152077",
            "telephone_number": "919-676-7777",
            "fax_number": "919-676-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE AND ASSOCIATES XI, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "910-814-2944",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-NC HEALTHCHOICE",
            "identifier": "016YH",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.