Individual provider Active NPI

William Scott Lightfoot, D.D.S., M.S.

  • Periodontics
  • Hingham, MA
National Provider Identifier
1629194063
Registry record updated Apr 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
21392 Issued in MA
Practice address
72 Sharp St Ste A6
Hingham, MA 02043-4362
Phone
(781) 812-0740
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 21392 MA Primary

Addresses

Primary practice location

72 Sharp St Ste A6
Hingham, MA 02043-4362

Mailing address

12 Trout Farm LN
Duxbury, MA 02332-4609
Phone (617) 780-0565

Other practice location 1

761 Washington St
Norwood, MA 02062-6612
Phone (781) 762-9292

Other practice location 2

42 Tremont St Ste 10A
Duxbury, MA 02332-5300
Phone (781) 934-6998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20150528000315 MA Order and Referring Only - DentistPractitioner - Dentist 2466772728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
21392MAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
William S. Lightfoot DDS, Ms, PLLC CurrentSince Apr 17, 2020 Accepting new patients
LSL Dental PLLC Periodontics Current Accepting new patients
Dux Dental PLLC CurrentSince Apr 17, 2020 Accepting new patients

Locations

42 Tremont St
Ste 10A
Duxbury, MA 02332
Phone (781) 934-6998

72 Sharp St
Ste A6
Hingham, MA 02043
Phone (617) 780-0565

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585958400000",
    "number": "1629194063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 TROUT FARM LN",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324609",
            "telephone_number": "617-780-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 SHARP ST STE A6",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434362",
            "telephone_number": "781-812-0740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "761 Washington St",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "MA",
            "postal_code": "020626612",
            "country_code": "US",
            "telephone_number": "781-762-9292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42 Tremont St Ste 10A",
            "address_purpose": "LOCATION",
            "city": "Duxbury",
            "state": "MA",
            "postal_code": "023325300",
            "country_code": "US",
            "telephone_number": "781-934-6998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIGHTFOOT",
        "first_name": "WILLIAM",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-04-04",
        "certification_date": "2020-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "21392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

Verify at the official NPI Registry.