Lane and Associates Xxxvi DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LANE AND ASSOCIATES XXXVI DDS PA

Practice address

900 S Garnett St
Henderson, NC 27536-4572

Phone

(252) 438-3145

Fax

(252) 430-8228

NPI assigned

Dec 23, 2019

Last updated

Oct 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alicia Duffy

Title

Credentialing Manager

Phone

(919) 295-2757

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chad Garett Lubecki, DMD

  • General Practice Dentistry
  • Henderson, NC
  • NPI 1750760781
  NPD
• Charles E. Burnham Jr., DDS

  • Dentist
  • Henderson, NC
  • NPI 1235356122
  NPD (past)

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1952940926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12450 CLEVELAND RD STE 204",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275298355",
            "telephone_number": "919-295-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S GARNETT ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364572",
            "telephone_number": "252-438-3145",
            "fax_number": "252-430-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE AND ASSOCIATES XXXVI DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "919-295-2757"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.lanedds.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "900 S Garnett St",
            "city": "Henderson",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275364572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Levina Kumar, PMHNP-BC
• Danielle Renee Kwakye-Berko, MD
• Timothy Kwiatkowski, MD
• L Vijaya. MD, PA
• Lamantre Tresses LLC
• Michael Langston
• Anthony Veto Laspina, PH.D.
• Chippy Lavache
• Lavni, Inc
• Simone Cherelle Lawrence

• General Practice Dentistry in Henderson, NC
• Providers in Henderson, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.