Active NPI
Chad J Lancaster
- General Practice Dentistry
- Gassaway, WV
National Provider Identifier
1912961202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3625
- Practice address
- 715 Elk St
Gassaway, WV 26624-1113 - Phone
- (304) 364-8565
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3625 | WV | Primary |
Addresses
Primary practice location
715 Elk St
Gassaway, WV 26624-1113
Mailing address
715 Elk St
PO Box 307
Gassaway, WV 26624-1113
Phone (304) 364-8565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810000354 | Medicaid | WV |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3625 | WV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chad J Lancaster, DDS, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Gassaway, WV
- NPI 1881171726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353888000000",
"number": "1912961202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 ELK ST",
"address_2": "PO BOX 307",
"city": "GASSAWAY",
"state": "WV",
"postal_code": "266241113",
"telephone_number": "304-364-8565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 ELK ST",
"city": "GASSAWAY",
"state": "WV",
"postal_code": "266241113",
"telephone_number": "304-364-8565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANCASTER",
"first_name": "CHAD",
"middle_name": "J",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2012-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WV",
"license": "3625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810000354",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gassaway, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.