William Blake Lane, D.D.S., M.S.D., PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

6870 Issued in GA

Practice address

6440 Bradley Park Dr
Columbus, GA 31904-3082

Phone

(706) 323-7217

Fax

(706) 324-4982

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. W. Blake Lane Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr. Dana E. Fender, D.M.D., P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Douglas, GA
  • NPI 1326537523
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962420646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 BRADLEY PARK DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043082",
            "telephone_number": "706-323-7217",
            "fax_number": "706-324-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 BRADLEY PARK DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043082",
            "telephone_number": "706-323-7217",
            "fax_number": "706-324-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "WILLIAM",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D., PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "6870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "W.",
            "last_name": "LANE",
            "middle_name": "BLAKE",
            "prefix": "DR.",
            "credential": "D.D.S., M.S.D., PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lane Dermatologic Surgery Center, LLC
• Lane Dermatology & Dermatologic Surgery LLC
• Joshua Edward Lane, M.D.
• Tanda Nichole Lane, M.D.
• Tanisha Zakia Lane
• Yarvarious Tarvett Lane, PMHNP
• Wanda Laney-Collier, NP
• Andria Laney
• Davina Lang, NP
• Letasha Lang, ED.D, LPC

• Orthodontics and Dentofacial Orthopedics Dentistry in Columbus, GA
• Providers in Columbus, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.