Lana Wicks McDermott, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08855 Issued in IA

Practice address

108 5TH Ave
Decorah, IA 52101

Phone

(563) 382-3657

Fax

(563) 382-0739

NPI assigned

Aug 10, 2011

Last updated

Apr 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Lana Catherine Wicks Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 8, 2015 through Sep 8, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lana W. McDermott, DDS PC

  • Dental Clinic/Center
  • Decorah, IA
  • NPI 1922851575
  NPD Authorized official

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1821377615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 5TH AVE",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "52101",
            "telephone_number": "563-382-3657",
            "fax_number": "563-382-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 5TH AVE",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "52101",
            "telephone_number": "563-382-3657",
            "fax_number": "563-382-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "LANA",
        "middle_name": "WICKS",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANA",
            "last_name": "WICKS",
            "middle_name": "CATHERINE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gabrielle Masek, L.AC
• Mayo Clinic Hospital-Rochester
• Mayo Foundation for Medical Education & Research (Mayo Clinic Store - Decorah)
• Amber Lynn McCarville, DDS
• Torie McConnell, DDS
• McKone-Burks Inc (Medicap Pharmacy)
• Medicap Pharmacy
• Meehan and Schwartz O D P L C (Oneota Valley Family Eye Care)
• James F Meehan, O.D.
• Laurie Meinholz, D.C.

• General Practice Dentistry in Decorah, IA
• Providers in Decorah, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.