ANDREW CHARLES LANE DMD
NPI 1891257747
Dentist - Pediatric Dentistry in Portland, OR
About Andrew Charles Lane Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW CHARLES LANE DMD (NPI 1891257747) is an individual pediatric dentistry provider in Portland, Oregon, licensed in Oregon (D11061) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andrew Charles Lane Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Andrew Lane's NPI number?
The NPI number for Andrew Lane is 1891257747. It was assigned to this individual provider in the NPPES registry on April 1, 2019.
Where is Andrew Lane located?
Andrew Lane practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8211.
What is Andrew Lane's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.
Is Andrew Lane enrolled in Medicare?
Yes. Andrew Lane is registered in the Medicare PECOS enrollment system.
What insurance does Andrew Lane accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Dental Health Services and 2 other insurers list Andrew Lane as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Andrew Lane was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Andrew Charles Lane, DMD · NPI 1891257747
Pediatric Dentistry provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since April 1, 2019.
## Identity
- **NPI:** 1891257747 (Entity type: Individual)
- **Enumerated:** April 1, 2019
- **Primary specialty:** Dentist - Pediatric Dentistry · taxonomy 1223P0221X
- **State license:** D11061 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3098
- **Phone:** (503) 494-8211
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** February 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1891257747) · Data from the CMS NPPES public registry.