Individual provider Active NPI

Tiffany Nicole Lemasters, DDS

  • General Practice Dentistry
  • Huntington, WV
National Provider Identifier
1215212394
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3971 Issued in WV
Practice address
1423 3Rd Ave
Huntington, WV 25701-1614
Phone
(304) 691-0700
NPI assigned
Oct 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30-025926 OH
General Practice Dentistry 1223G0001X 3971 WV Primary

Addresses

Primary practice location

1423 3Rd Ave
Huntington, WV 25701-1614

Mailing address

PO Box 327
Huntington, WV 25708-0327
Phone (304) 429-1088

Other identifiers 1

IdentifierTypeStateIssuer
3810022482MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20191030002894 OH Practitioner - Dentist 5092972810 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-025926OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ironton & Lawrence County Area Community Action Organization CurrentSince Sep 1, 2019 Accepting new patients
Ironton & Lawrence County Area Community Action Organization CurrentSince Sep 1, 2019 Accepting new patients
Ironton & Lawrence County Area Community Action Organization Current Accepting new patients
Ironton & Lawrence County Area Community Action Organization CurrentSince Sep 1, 2019 Accepting new patients
Charles E. Sammons, DDS General Practice Past Accepting new patients

Locations

305 N 5th St
Ironton, OH 45638

120 N 3rd St
Ironton, OH 45638
Phone (740) 532-7855

1408 Campbell Dr
#201
Ironton, OH 45638
Phone (740) 534-9195

10777 County Road 107
Proctorville, OH 45669
Phone (740) 302-0541

Interoperability endpoints

  • Direct secure messaging: tiffany.lemastersdds.d1.p12@direct.cornerstonecare.nextgenshare.com

Organizations & group practices 5

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": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1215212394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257080327",
            "telephone_number": "304-429-1088",
            "fax_number": "304-429-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 3RD AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011614",
            "telephone_number": "304-691-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMASTERS",
        "first_name": "TIFFANY",
        "middle_name": "NICOLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-025926",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810022482",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.