Organization Active NPI

Lane S. Harris DMD PC

  • Dentist
  • Albany, OR
National Provider Identifier
1861728115
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D7193 Issued in OR
Legal business name
LANE S. HARRIS DMD PC
Practice address
1036 Elm St SW
Albany, OR 97321-2039
Phone
(541) 928-2993
Fax
(541) 926-0339
NPI assigned
Oct 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Authorized official

Name
Sherry Lynn Miller
Title
Office Manager
Phone
(541) 928-2993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D7193 OR Primary

Addresses

Primary practice location

1036 Elm St SW
Albany, OR 97321-2039

Mailing address

1036 Elm St SW
Albany, OR 97321-2039
Phone (541) 928-2993

Other names 1

  • Elm Street Family Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1861728115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 ELM ST SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212039",
            "telephone_number": "541-928-2993",
            "fax_number": "541-926-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 ELM ST SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212039",
            "telephone_number": "541-928-2993",
            "fax_number": "541-926-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE S. HARRIS DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-928-2993"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D7193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elm Street Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.