Individual provider Active NPI

Matthew D. Laneve, D.D.S

  • General Practice Dentistry
  • Gibsonia, PA
National Provider Identifier
1912051699
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS027692L Issued in PA
Practice address
5012 William Flynn Hwy
Gibsonia, PA 15044-8406
Phone
(724) 443-1300
Fax
(724) 443-1327
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS027692L PA Primary

Addresses

Primary practice location

5012 William Flynn Hwy
Gibsonia, PA 15044-8406

Mailing address

5012 William Flynn Hwy
Gibsonia, PA 15044-8406
Phone (724) 443-1300

Other identifiers 2

IdentifierTypeStateIssuer
251672679OtherPATAX ID #
LA701016OtherPAUNITED CONCORDIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS027692LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1912051699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 WILLIAM FLYNN HWY",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150448406",
            "telephone_number": "724-443-1300",
            "fax_number": "724-443-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 WILLIAM FLYNN HWY",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150448406",
            "telephone_number": "724-443-1300",
            "fax_number": "724-443-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANEVE",
        "first_name": "MATTHEW",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS027692L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "251672679",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "LA701016",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.