Brian Lane D D S PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BRIAN LANE D D S PA

Practice address

17 Eagle Park Dr
Vilonia, AR 72173-9050

Phone

(501) 425-1583

NPI assigned

May 12, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Brian LaneNPI 1710072277

Title

President

Phone

(501) 796-3903

Specialties & licenses 1

Addresses

Practitioners 1

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

• Brian Lane

  • General Practice Dentistry
  • Vilonia, AR
  • NPI 1710072277
  NPD (past) Authorized official

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1831711910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "VILONIA",
            "state": "AR",
            "postal_code": "721730130",
            "telephone_number": "501-796-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 EAGLE PARK DR",
            "city": "VILONIA",
            "state": "AR",
            "postal_code": "721739050",
            "telephone_number": "501-425-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN LANE D D S PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-796-3903",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Elizabeth Bartley
• Lindsay Kathryn Bennett, BSW, MHPP
• Brian Michael Bowlin, M.D.
• Courtney Brewer, LCSW
• Melissa Lynn Brewer, M.S., CCC-SLP
• Glenda Powell Brownlee, SPEECH PATHOLOGIST
• Charles W. Himmler, D.O.,P.a.
• Sterling Dwayne Claypoole
• Patricia Cline, MSE, CCC-SLP
• Ashley Coffman

• Dentist in Vilonia, AR
• Providers in Vilonia, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.