Lanoka Shores LLC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

LANOKA SHORES LLC

Practice address

249 S Main St Unit 4
Barnegat, NJ 08005-2301

Phone

(609) 488-2325

Fax

(609) 488-2342

NPI assigned

Jun 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kathy A Banks, DMD

Title

Sole Member

Phone

(609) 488-2325

Specialties & licenses 1

Addresses

Other names 1

• Kathy A Banks Other name

Locations

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1992118087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 S MAIN ST UNIT 4",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052301",
            "telephone_number": "609-488-2325",
            "fax_number": "609-488-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 S MAIN ST UNIT 4",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052301",
            "telephone_number": "609-488-2325",
            "fax_number": "609-488-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANOKA SHORES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "609-488-2325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kathy A Banks",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eric King, PTA
• Kristen Dawn King
• Katie Anne Krason, ED.M
• Owen Kretschmer, PT
• Crystal Lace, BCBA
• Alissa Levance, OTR/L
• Linda J. Leonard LCSW LLC
• Kerri Lindo, PT
• Emily Lioudis, BSW, CADC
• Ellen Brennan Lloyd, PT

• Oral & Maxillofacial Surgery (D.M.D.) in Barnegat, NJ
• Providers in Barnegat, NJ by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.