Cemeron Lavar Longstreet, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

4331 Issued in SC

Practice address

3903 Augusta Rd
Piedmont Dental Center
Greenville, SC 29605-1337

Phone

(864) 299-6700

NPI assigned

Jun 25, 2007

Last updated

Jun 28, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in SC

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

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

• Affordable Dentures - Greenville, P. C.

  • Dentist
  • Greenville, SC
  • NPI 1174861694
  NPD (past)
• Piedmont Dental Center - Greenville, P.C.

  • Dentist
  • Greenville, SC
  • NPI 1023270436
  NPD (past)

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1548466683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 HALTON RD APT 8102",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073466",
            "telephone_number": "864-234-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 AUGUSTA RD",
            "address_2": "PIEDMONT DENTAL CENTER",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051337",
            "telephone_number": "864-299-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGSTREET",
        "first_name": "CEMERON",
        "middle_name": "LAVAR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "4331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long's Drugstores of South Carolina, Inc. (Avita Pharmacy)
• Carolyn Desimone Longacre, DC
• Ralph S Longello, CRNA
• Danielle Longfellow
• Robert Longstaffe, MD, FRCSC
• Peter Leigh Longstreet, MD
• Stephen Eddie Lookadoo Jr., M.D.
• Rosa Looney, LMFT, SIT,CC
• Amanda Marie Looper, PA-C
• Erin Hudson Looper, PA-C

• Dentist in Greenville, SC
• Providers in Greenville, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.