Individual provider Active NPI

David Martin Lomasney, DDS

  • General Practice Dentistry
  • Port Huron, MI
National Provider Identifier
1124211859
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17518 Issued in MI
Practice address
1017 Huron Ave
Port Huron, MI 48060-3770
Phone
(810) 989-4746
Fax
(810) 982-2209
NPI assigned
Aug 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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 17518 MI Primary

Addresses

Primary practice location

1017 Huron Ave
Port Huron, MI 48060-3770

Mailing address

1017 Huron Ave
Port Huron, MI 48060-3770
Phone (810) 989-4746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190220002458 MI Order and Referring Only - DentistPractitioner - Dentist 4688993512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17518MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sandy L Parrott DDS PC Past Accepting new patients
David M Lomasney DDS PC General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1124211859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 HURON AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603770",
            "telephone_number": "810-989-4746",
            "fax_number": "810-982-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 HURON AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603770",
            "telephone_number": "810-989-4746",
            "fax_number": "810-982-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMASNEY",
        "first_name": "DAVID",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "17518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.