NPIMap

Organization Active NPI

Lanoka Shores LLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Barnegat, NJ
National Provider Identifier
1992118087
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jun 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Dr. Kathy A Banks, DMDNPI 1124090212
Title
Sole Member
Phone
(609) 488-2325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

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

Mailing address

249 S Main St Unit 4
Barnegat, NJ 08005-2301
Phone (609) 488-2325

Other names 1

  • Kathy A Banks Other name

National Provider Directory

National Provider Directory

Locations

249 S Main St
Ste 4
Barnegat, NJ 08005
Phone (609) 488-2325

Practitioners & affiliated clinicians

Practitioners 1

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": "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"
        }
    ]
}

Other providers in Barnegat, NJ

Sources for this page

  • 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.