Active NPI
Huston Lewis Hastie, DMD
- General Practice Dentistry
- Vass, NC
National Provider Identifier
1023570322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11857
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190625002320 | OH | Order and Referring Only - Dentist | 3577897552 | |
| I20200918000078 | NC | Order and Referring Only - 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.