Individual provider Active NPI

Huston Lewis Hastie, DMD

  • General Practice Dentistry
  • Vass, NC
National Provider Identifier
1023570322
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11857 Issued in NC
Practice address
115 Southern Dunes Dr
Vass, NC 28394-9218
Phone
(910) 242-4577
NPI assigned
Apr 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11857 NC Primary

Addresses

Primary practice location

115 Southern Dunes Dr
Vass, NC 28394-9218

Mailing address

10 Gadsten CT
Pinehurst, NC 28374-9646
Phone (859) 771-6535

Other practice location 1

327 Teal Dr
Raeford, NC 28376-2527
Phone (910) 208-6091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190625002320 OH Order and Referring Only - DentistPractitioner - Dentist 3577897552
I20200918000078 NC Order and Referring Only - DentistPractitioner - Dentist 3577897552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1023570322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GADSTEN CT",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749646",
            "telephone_number": "859-771-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SOUTHERN DUNES DR",
            "city": "VASS",
            "state": "NC",
            "postal_code": "283949218",
            "telephone_number": "910-242-4577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Teal Dr",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283762527",
            "country_code": "US",
            "telephone_number": "910-208-6091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASTIE",
        "first_name": "HUSTON",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-04",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vass, NC

Sources for this page

Verify at the official NPI Registry.