DR. KATHERINE JEAN LANE (NPI# 1942357686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942357686 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE JEAN LANE |
| Credential | D.M.D, M.S.D |
| Practice Address |
5135 Skyline Rd S Salem OR 97306-9427 |
| Mailing Address |
5111 Zosel Ave S Salem OR 97306-2103 |
| Practice Telephone | 5418802090 |
| Practice Fax Number | 5418802092 |
| Mailing Telephone | 5038660920 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2014-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | D8774 | OR | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D8774 | OR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OREGON DENTIST LICENSE | D8774 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285983817 | Katherine Carlisle Lane | Internal Medicine | 3459 5th Ave Ste 9, Pittsburgh, PA 15213-3236 | 2012-08-29 |
| 1407319650 | Katherine Olga Lane | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2019-04-12 |
| 1841773330 | Katherine Lane | Audiologist | 101 Sivley Rd Sw, Huntsville, AL 35801-4470 | 2018-09-11 |
| 1275021917 | Katherine Jean Lane | Dietitian, Registered | 8720 14th Ave S, Seattle, WA 98108-4807 | 2018-04-27 |
| 1427545011 | Katherine Elizabeth Lane | Behavioral Analyst | 10 Mohawk Dr, Londonderry, NH 03053 | 2018-04-18 |
| 1568961316 | Katherine Rose Lane | Marriage & Family Therapist | 1200 N Main St Ste 301, Santa Ana, CA 92701-3640 | 2018-02-07 |
| 1275934788 | Katherine May Lane | Nurse Practitioner | 1639 W Morris Blvd, Morristown, TN 37813-2832 | 2014-09-16 |
| 1730321621 | Katherine Anne Lane | Nurse Practitioner | 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507-7754 | 2009-03-24 |
| 1992913891 | Katherine Dawn Lane | Specialist | 212 S Main St, Mount Vernon, OH 43050 | 2007-05-21 |
| 1417179029 | Katherine A Lane | Ophthalmology | 51 N 39th St, Philadelphia, PA 19104-2640 | 2007-05-03 |
| Street Address |
5135 SKYLINE RD S |
| City | SALEM |
| State | OR |
| Zip Code | 97306-9427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407877996 | Jennifer M Harms | Dentist | 5135 Skyline Rd S, Salem, OR 97306-9427 | 2006-07-21 |
| 1285264978 | Stacy Marie Dunnihoo | Dental Assistant | 5135 Skyline Rd S, Salem, OR 97306-9427 | 2020-01-22 |
| 1407486558 | Heidi Kae Mort | Dental Assistant | 5135 Skyline Rd S, Salem, OR 97306-9427 | 2020-01-16 |
| 1346705647 | Alina Ferguson | Dental Assistant | 5135 Skyline Rd S, Salem, OR 97306-9427 | 2019-01-31 |
| 1336640655 | Valarie Marie Pardee | Dental Assistant | 5135 Skyline Rd S, Salem, OR 97306-9427 | 2018-02-22 |
| 1427576081 | Emily Irene Day | Dental Assistant | 5135 Skyline Rd S, Salem, OR 97306-9427 | 2017-09-05 |
| 1144772377 | Kaiser Foundation Health Plan of The Northwest | Dentist | 5135 Skyline Rd S, Salem, OR 97306-9427 | 2016-11-04 |
| 1265894349 | Nicole Sequoia | Dental Assistant | 5135 Skyline Rd S, Salem, OR 97306-9427 | 2016-03-28 |
| 1417319948 | Alicia Buen | Dental Assistant | 5135 Skyline Rd S, Salem, OR 97306-9427 | 2016-03-23 |
| 1447640875 | Lauren Grace Maerz | Dental Hygienist | 5135 Skyline Rd S, Salem, OR 97306-9427 | 2015-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134609050 | Andrea P Merryman | Dental Assistant | 5135 Skyline Rd South, Salem, OR 97306 | 2018-08-20 |
| 1215470315 | Anthony Quoc Ngo | Nurse Practitioner | 5050 Skyline Village Loop, Salem, OR 97306 | 2016-11-22 |
| 1134521305 | Wendy Poling | Occupational Therapy Assistant | 1966 Madras St Se Apt 1082, Salem, OR 97306 | 2014-09-19 |
| 1659601045 | Monarch Medical Group LLC | Clinic/Center | 5686 Commercial St Se, Suite 100, Salem, OR 97306 | 2010-01-06 |
| 1316188006 | Judith A Mitchell | Physician Assistant | 4999 Skyline Rd. S., Salem, OR 97306 | 2009-03-10 |
| 1164685574 | Leon Chira | Pharmacist | 2431 Concomly Rd S, Salem, OR 97306 | 2008-07-07 |
| 1912175035 | Salem Clinic, PC | General Practice | 2531 Boone Road Se, Salem, OR 97306 | 2008-02-11 |
| 1326257486 | Robert Allen Long | Physical Therapist | 6250 Commercial St N.e., Salem, OR 97306 | 2007-05-22 |
| 1922137504 | Charlene Garbutt | Dental Assistant | 5135 Skyline Rd. S., Salem, OR 97306 | 2007-03-02 |
| 1417085747 | Michelle West | Dental Assistant | 5135 Skyline R S, Salem, OR 97306 | 2007-02-28 |
| Find all providers in zip 97306 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740670009 | Ian Bell | Dentist | 140 Ramsgate Sq S Ste 120, Salem, OR 97302-5873 | 2015-01-26 |
| 1942551791 | Roger C. Dow, Dmd PC | Dentist | 140 Ramsgate Sq Se, Suite 110, Salem, OR 97302 | 2012-09-19 |
| 1598821944 | Weston Willard Heringer Jr. | Dentist | 2020 Commercial St Se, Salem, OR 97302 | 2006-12-29 |
| 1003917410 | Jeffrey C Phillips | Dentist | 1109 Liberty Circle S, Salem, OR 97306 | 2006-09-26 |
| 1922112333 | Roger Charles Dow | Dentist | 140 Ramsgate Sq S, Suite 110, Salem, OR 97302-5871 | 2006-08-19 |
| 1457376782 | Sean A Cooper | Dentist | 1105 12th St Se, Salem, OR 97302-2810 | 2006-07-13 |
| 1235116419 | J Chris Martin | Dentist | 1625 Commercial St Se, Salem, OR 97302-4311 | 2005-12-28 |
| 1376530535 | Stuart S Gould | Dentist | 116 Highland Ave, Salem, MA 01970-2723 | 2005-10-03 |
| 1043869191 | Acorn Dentistry for Kids - West Salem, LLC | Dentist | 1049 Edgewater St Nw, Salem, OR 97304-4046 | 2019-09-10 |
| 1598320111 | Salem Family Dental and Orthodontics PC | Dentist | 10 Federal St Ste 16, Salem, MA 01970-3875 | 2019-05-08 |
| Find all providers in SALEM | ||||
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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.