DR. KERRY JURGENS LANE (NPI# 1386861078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386861078 |
| Entity Type | Individual |
| Full Name | DR. KERRY JURGENS LANE |
| Credential | D.D.S. |
| Practice Address |
325 Meeting House Lane Suite H Southampton NY 11946 |
| Mailing Address |
325 Meeting House Ln Suite H Southampton NY 11968-5087 |
| Practice Telephone | 6312831543 |
| Practice Fax Number | 6312874598 |
| Mailing Telephone | 6312831543 |
| Mailing Fax Number | 6312874598 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
042010-1 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | DENTAL LICENSE | 042010-1 | 01 |
| NY | DEA | BL1776989 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245252725 | Kerry H Lane | Nurse Practitioner | 3 Mahoney Ave, Rutland, VT 05701-4837 | 2006-07-24 |
| 1053767087 | Kerry Lane | Counselor | 6 Auer Ct, East Brunswick, NJ 08816-5828 | 2016-05-09 |
| 1548257181 | Kerry Scott Lane | Anesthesiology | 795 Middle St, Fall River, MA 02721-1733 | 2005-09-29 |
| Street Address |
325 MEETING HOUSE LANE SUITE H |
| City | SOUTHAMPTON |
| State | NY |
| Zip Code | 11946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306209234 | Vatche Michael Zohrabian | Internal Medicine | 325 Meeting House Lane, Bldg. 2 Suite 403, Southampton, NY 11968 | 2016-03-29 |
| 1750708749 | Eric Sin | Internal Medicine | 325 Meeting House Lane, Bldg 2 Suite 302, Southampton, NY 11968 | 2014-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093349029 | Martha Danielle Belesis | Social Worker | 6 East Canal Ct, Hampton Bays, NY 11946 | 2020-02-28 |
| 1568005270 | Robert Joseph Whelan | Massage Therapist | 1 Roberta Court, Hampton Bays, NY 11946 | 2019-10-25 |
| 1912569286 | Patrick P Reilly | Physical Therapy Assistant | 51 Fanning Ave, Hampton Bays, NY 11946 | 2019-07-08 |
| 1376073908 | Town of Southampton | Clinic/Center | 25 Ponquogue Ave, Hampton Bays, NY 11946 | 2017-06-15 |
| 1932647229 | Deena Lippman | Registered Nurse | 7 Debbie Trail, Hampton Bays, NY 11946 | 2017-02-07 |
| 1285176768 | Brian Jake Meringola | Physical Therapist | 13 Higbee Road, Hampton Bays, NY 11946 | 2016-11-15 |
| 1023564390 | Rehan Khalik | Pharmacist | 50 E Montauk Highway, Hampton Bays, NY 11946 | 2016-08-28 |
| 1164822680 | Robert Eugene Miller | Surgery | 1 Peconic Overlook, Hampton Bays, NY 11946 | 2014-09-03 |
| 1255674214 | Lynden Ishmael Watson | Nurse's Aide | 32 Lamplight Cir, Hampton Bays, NY 11946 | 2013-03-28 |
| 1073866570 | Barbara Jeanne Bendowski | Nurse Practitioner | 145 West Montauk Highway, Hampton Bays, NY 11946 | 2012-10-22 |
| Find all providers in zip 11946 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184286064 | Katherine M Habbel | Dentist | 57 Street Rd Ste M, Southampton, PA 18966-3100 | 2019-07-01 |
| 1306402524 | Miracle Dental Center | Dentist | 963 Street Rd # A, Southampton, PA 18966-4728 | 2019-05-13 |
| 1407134125 | Apex Smiles LLC | Dentist | 771 2nd Street Pike, Southampton, PA 18966 | 2011-07-29 |
| 1093042681 | Rajashekar K Reddy | Dentist | 730 2nd Street Pike, Southampton, PA 18966-3961 | 2009-11-03 |
| 1124290663 | Daniel Joseph Mcgarrigan Jr. | Dentist | 662 Belmont Ave, Southampton, PA 18966 | 2008-03-25 |
| 1871770909 | Eric Friedman | Dentist | 1045 Street Rd, Southampton, PA 18966-4232 | 2008-01-31 |
| 1942496344 | Southampton Family Dentistry, LLC | Dentist | 4 Line Street, Southampton, MA 01073 | 2007-09-19 |
| 1114136785 | Lewis William Wright | Dentist | 491 Hampton Rd, Southampton, NY 11968-3004 | 2007-05-21 |
| 1457566366 | Neal L Freedman | Dentist | 604 Lakeside Drive, Southampton, PA 18966 | 2007-05-14 |
| 1356556476 | Teresa Anita Debernardis | Dentist | 816 2nd St Pike, A, Southampton, PA 18966-3951 | 2007-05-11 |
| Find all providers in SOUTHAMPTON | ||||
| City | SOUTHAMPTON |
| Zip Code | 11946 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.