Andrea M. Lockhart, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4271 Issued in WV

Practice address

700 Kevin Dr
New Martinsville, WV 26155-2757

Phone

(304) 455-2030

NPI assigned

Jun 9, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• New Martinsville Dental PLLC

  • General Practice Dentistry
  • New Martinsville, WV
  • NPI 1801402185
  NPD Authorized official

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592611200000",
    "number": "1649709858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 WETZEL ST",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261551506",
            "telephone_number": "304-673-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 KEVIN DR",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552757",
            "telephone_number": "304-455-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKHART",
        "first_name": "ANDREA",
        "middle_name": "M.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2020-06-20",
        "certification_date": "2020-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "4271",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "4271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Lemmings
• Audra Lemon, FNP
• Jessica Maria Lewis, FNP-C
• Life Guard Inc.
• Lifeline Pediatrics Inc
• Samantha Long
• Hannah Jo Longwell
• Raven N Longwell
• Vickey J Longwell
• Debra Dale Loy

• General Practice Dentistry in New Martinsville, WV
• Providers in New Martinsville, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.