Organization Active NPI

Lancer.Washburn DDS, PLLC

  • Public Health Dentistry
  • Pensacola, FL
National Provider Identifier
1962911743
Registry record updated Sep 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
LANCER.WASHBURN DDS, PLLC
Practice address
627 N New Warrington Rd
Pensacola, FL 32506-4244
Phone
(850) 453-3245
NPI assigned
Sep 25, 2017
Last updated
Sep 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2017

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

Authorized official

Name
Dr. Lance Rawson Washburn
Title
Doctor
Phone
(850) 453-3245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

627 N New Warrington Rd
Pensacola, FL 32506-4244

Mailing address

627 N New Warrington Rd
Pensacola, FL 32506-4244
Phone (850) 453-3245

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506297600000",
    "number": "1962911743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 N NEW WARRINGTON RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325064244",
            "telephone_number": "850-453-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 N NEW WARRINGTON RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325064244",
            "telephone_number": "850-453-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCER.WASHBURN DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-25",
        "status": "A",
        "authorized_official_last_name": "WASHBURN",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "RAWSON",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "850-453-3245",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; 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.