Individual provider Active NPI

Thomas Michael Lane, D.C.

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1891719506
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
FL0008563 Issued in FL
Practice address
1307 W Fletcher Ave
Tampa, FL 33612-3310
Phone
(813) 968-4293
Fax
(813) 968-3182
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X FL0008563 FL Primary

Addresses

Primary practice location

1307 W Fletcher Ave
Tampa, FL 33612-3310

Mailing address

1307 W Fletcher Ave
Tampa, FL 33612-3310
Phone (813) 968-4293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040226000704 FL Practitioner - Chiropractic 9032005921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1323 W Fletcher Ave
Tampa, FL 33612-3310
Phone (813) 968-4293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
FL0008563FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lane Family Chiropractic Chiropractor CurrentSince Oct 1, 2004 Accepting new patients
East Cobb Wellness Center Chiropractor Past Accepting new patients
Athans Chiropractic Inc Chiropractor Past Accepting new patients
Stephen M Cox, P.a Chiropractor PastSince Sep 21, 2010 Accepting new patients

Locations

1307 W Fletcher Ave
Tampa, FL 33612
Phone (813) 968-4293

1323 W Fletcher Ave
Tampa, FL 33612
Phone (800) 797-7533

1323 W Fletcher Ave
Ste A
Tampa, FL 33612
Phone (813) 968-4293

Interoperability endpoints

  • Direct secure messaging: thomas.lane.1@20412.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891719506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123310",
            "telephone_number": "813-968-4293",
            "fax_number": "813-968-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123310",
            "telephone_number": "813-968-4293",
            "fax_number": "813-968-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "FL0008563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.