Active NPI
Lonnie H Norris, DMD, MPH
- Oral and Maxillofacial Surgery (Dentist)
- Boston, MA
National Provider Identifier
1114131208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 13391
- Practice address
- 1 Kneeland St
Tufts University School of Dental Medicine
Boston, MA 02111-1527 - Phone
- (617) 636-6636
- Fax
- (617) 636-0309
- NPI assigned
- May 9, 2007
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 13391 | MA | Primary |
Addresses
Primary practice location
1 Kneeland St
Tufts University School of Dental Medicine
Boston, MA 02111-1527
Mailing address
1 Kneeland St
Tufts University School of Dental Medicine
Boston, MA 02111-1527
Phone (617) 636-6636
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013391 | Other | MA | TUFTS HEALTH |
| 0013332 | Other | MA | NEIGHBORHOOD HEALTH |
| 4336614 | Other | MA | ATENA |
| 16186NEMC | Other | MA | HARVARD |
| 4651255 | Other | MA | CIGNA |
| 0264679 | Medicaid | MA | |
| 100969 | Other | MA | DELTA DENTAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13391 | MA | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1114131208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 KNEELAND ST",
"address_2": "TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111527",
"telephone_number": "617-636-6636",
"fax_number": "617-636-0309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KNEELAND ST",
"address_2": "TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111527",
"telephone_number": "617-636-6636",
"fax_number": "617-636-0309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "LONNIE",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DMD, MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MA",
"license": "13391",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH",
"identifier": "013391",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "0013332",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATENA",
"identifier": "4336614",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD",
"identifier": "16186NEMC",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4651255",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0264679",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "100969",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.