Douglas R Lippert, DMD, FAGD, D.ABDSM

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS035701 Issued in PA

Practice address

12814 State Route 30
North Huntingdon, PA 15642-1352

Phone

(724) 863-5700

Fax

(724) 863-5701

NPI assigned

Dec 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Irwin Family Dental, LLC

  • General Practice Dentistry
  • North Huntingdon, PA
  • NPI 1073819520
  NPD Authorized official
• David Stark, DMD

  • General Practice Dentistry
  • N Huntingdon, PA
  • NPI 1992830749
  NPD (past)

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1376528232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12814 STATE ROUTE 30",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156421352",
            "telephone_number": "724-863-5700",
            "fax_number": "724-863-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12814 STATE ROUTE 30",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156421352",
            "telephone_number": "724-863-5700",
            "fax_number": "724-863-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPERT",
        "first_name": "DOUGLAS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD, FAGD, D.ABDSM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole A Lavale, MA, LPC
• Shawna Leeder, OTR/L
• Ella Mae Lehman, D.P.M.
• Holly Lynn Lentz, PHARMD
• Anne T. Levri, MD
• Thomas Paul Liptak, R.PH
• Judith Lee Lochner, O.T.R./L
• Carla Miller Lowman, P.T.
• Yesenia Lozada
• Charles Nelson Lubert, DC

• General Practice Dentistry in North Huntingdon, PA
• Providers in North Huntingdon, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.

Verify at the official NPI Registry.