NPIMap

Organization Active NPI

Jerry L Lanier DDS, Inc

  • Dentist
  • Burbank, CA
National Provider Identifier
1972823904
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JERRY L LANIER DDS, INC
Practice address
1400 W Olive Ave Ste 201
Burbank, CA 91506-2416
Phone
(818) 748-2250
NPI assigned
Jun 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Authorized official

Name
Dr. Jerry L Lanier
Title
Owner
Phone
(323) 461-9942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1400 W Olive Ave Ste 201
Burbank, CA 91506-2416

Mailing address

1400 W Olive Ave Ste 201
Burbank, CA 91506-2416
Phone (818) 748-2250

Other identifiers 1

IdentifierTypeStateIssuer
1356489660MedicaidCA

Other names 1

  • Kids Dental Kare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jerry L Lanier DDS Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

1400 W Olive Ave
Ste 201
Burbank, CA 91506
Phone (323) 461-9942

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1972823904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W OLIVE AVE STE 201",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062416",
            "telephone_number": "818-748-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W OLIVE AVE STE 201",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062416",
            "telephone_number": "818-748-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY L LANIER DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-461-9942",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356489660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Dental Kare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.