Active NPI
Lora Beth Ford, DDS MS
- Endodontics
- Charleston, WV
National Provider Identifier
1619049475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 3581
- Practice address
- 112 Morris St
Charleston, WV 25301-2911 - Phone
- (304) 343-2799
- NPI assigned
- Nov 15, 2006
- Last updated
- Aug 3, 2011
- Sex
- Female
- 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 | 3581 | WV | Primary |
Addresses
Primary practice location
112 Morris St
Charleston, WV 25301-2911
Mailing address
1027 Crestmont Rd
Hurricane, WV 25526-7402
Phone (304) 562-5007
Other names 1
- Lora Beth Haynie
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3581 | WV | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lora B. Ford DDS, Ms PLLC | Endodontics | Past | Accepting new patients |
| G Wayne Christian DDS PC | Endodontics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Endodontics
- Charleston, WV
- NPI 1255612479
-
- Endodontics
- Charleston, WV
- NPI 1366596892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312329600000",
"number": "1619049475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1027 CRESTMONT RD",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255267402",
"telephone_number": "304-562-5007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 MORRIS ST",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253012911",
"telephone_number": "304-343-2799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "LORA",
"middle_name": "BETH",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2011-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "WV",
"license": "3581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LORA",
"last_name": "HAYNIE",
"middle_name": "BETH",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.