John Lawrence Lassiter, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5310 Issued in NC

Practice address

323 W Main St
Lincolnton, NC 28092-2615

Phone

(704) 735-4722

Fax

(704) 735-2330

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jack Lassiter Former name

Medicare fee-for-service enrollment

Enrolled in NC

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

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528096724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 W MAIN ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280922615",
            "telephone_number": "704-735-4722",
            "fax_number": "704-735-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 W MAIN ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280922615",
            "telephone_number": "704-735-4722",
            "fax_number": "704-735-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSITER",
        "first_name": "JOHN",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8995120",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "LASSITER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lakeview Obstetrics & Gynecology PC
• Kayla Young Lamberth, LRT, CTRS, R/BT
• Ronald Warren Lamberton, MD
• Madison Nicole Land, OTR/L
• Jennifer Lapreze, PHARMD
• Mary Law, PSY. D
• Logan Lawing
• Wayne Edward Lawing, FNP-BC
• Tina N Le, LCSWA
• Melissa Leahy, FNP

• General Practice Dentistry in Lincolnton, NC
• Providers in Lincolnton, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.