DR. KAMERON CHARLES LUCKY DDS
NPI 1376460493
Dentist in Summersville, WV

Q: What is Kameron Lucky's NPI number?

The NPI number for Kameron Lucky is 1376460493. It was assigned to this individual provider in the NPPES registry on June 30, 2026.

Q: What is Kameron Lucky's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kameron Lucky was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 30, 2026PECOS Enrolled

832 BROAD ST, SUMMERSVILLE, WV 26651(304) 872-3919 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Kameron Charles Lucky Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KAMERON CHARLES LUCKY DDS (NPI 1376460493) is an individual dentist in Summersville, West Virginia, licensed in West Virginia (4871) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376460493

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. KAMERON CHARLES LUCKYCredential: DDS

Location Address832 BROAD STSummersville, WV 26651-1758

Mailing Address832 Broad StSummersville, WV 26651-1758 · (304) 872-3919

Phone(304) 872-3919

Sole ProprietorNo

Enumeration DateJune 30, 2026

NPPES CertifiedJune 30, 2026

✔ NPI 1376460493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WV · 4871

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

832 BROAD ST, Summersville, WV 26651

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kameron Charles Lucky Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26651 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$66.84 typical visit price

range $16.47 – $133.29

Typical copayment $16.71 (range $4.11 – $33.32)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTRAL WEST VIRGINIA SLEEP SOLUTIONS PLLC

Clinic/Center (Dental)

832 BROAD ST
SUMMERSVILLE, WV 26651

Nicholas County (304) 872-3919

GRACE KATHRYN LUCKY DDS

Dentist

832 BROAD ST
SUMMERSVILLE, WV 26651

Nicholas County (304) 872-3919

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kameron Lucky's NPI number?

The NPI number for Kameron Lucky is 1376460493. It was assigned to this individual provider in the NPPES registry on June 30, 2026.

Where is Kameron Lucky located?

Kameron Lucky practices at 832 Broad St, Summersville, WV 26651. The listed phone number is (304) 872-3919.

What is Kameron Lucky's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kameron Lucky enrolled in Medicare?

Yes. Kameron Lucky is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kameron Lucky was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.