Active NPI
John Philip Lightfoot, D.M.D.
- Endodontics
- Montgomery, AL
National Provider Identifier
1487614483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 3520
- Practice address
- 4275 Lomac St
Montgomery, AL 36106-2915 - Phone
- (334) 271-0440
- Fax
- (334) 409-0815
- NPI assigned
- Mar 24, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 3520 | AL | Primary |
Addresses
Primary practice location
4275 Lomac St
Montgomery, AL 36106-2915
Mailing address
4275 Lomac St
Montgomery, AL 36106-2915
Phone (334) 271-0440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141211000863 | AL | Order and Referring Only - Oral Surgery | 7810219359 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3520 | AL | MD | Critical Care Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1487614483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4275 LOMAC ST",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361062915",
"telephone_number": "334-271-0440",
"fax_number": "334-409-0815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4275 LOMAC ST",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361062915",
"telephone_number": "334-271-0440",
"fax_number": "334-409-0815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGHTFOOT",
"first_name": "JOHN",
"middle_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "AL",
"license": "3520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.