Active NPI
Kent T. Haynes, DDS
- Dentist
- Durango, CO
National Provider Identifier
1003028002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 105037
- Practice address
- 143 County Road 250
Durango, CO 81301-8530 - Phone
- (970) 247-9549
- Fax
- (970) 259-1705
- NPI assigned
- May 4, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 105037 | CO | Primary |
Addresses
Primary practice location
143 County Road 250
Durango, CO 81301-8530
Mailing address
143 County Road 250
Durango, CO 81301-8530
Phone (970) 247-9549
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 |
|---|---|---|---|
| 105037 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003028002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 COUNTY ROAD 250",
"city": "DURANGO",
"state": "CO",
"postal_code": "813018530",
"telephone_number": "970-247-9549",
"fax_number": "970-259-1705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 COUNTY ROAD 250",
"city": "DURANGO",
"state": "CO",
"postal_code": "813018530",
"telephone_number": "970-247-9549",
"fax_number": "970-259-1705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "KENT",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "105037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durango, CO
- Jeni Ann Hartmann, OT, PT, MPT
- Lori Ann Hassanzadeh-Aski
- Sara Joy Haug, MD, PHD
- Stephen Samuel Haverly
- James Lloyd Hayes V, CADC 2, ICADC
- Lisa Kay Hays, RN LMFT
- Healogics Specialty Physicians of Colorado-Professional, LLC
- Healthone Clinic Services - Oncology Hematology LLC
- Healthy Drugstore, Inc
- Healthy Drugstore, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.