Active NPI
Hayden Elizabeth Deprez, DDS
- Dentist
- Fort Richardson, AK
National Provider Identifier
1003542903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12013772A
- Practice address
- 634 B St
Fort Richardson, AK 99505-6650 - Phone
- (907) 384-2483
- NPI assigned
- Jul 25, 2022
- Sex
- Female
- 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 | 12013772A | IN | Primary |
Addresses
Primary practice location
634 B St
Fort Richardson, AK 99505-6650
Mailing address
634 B St
Fort Richardson, AK 99505-6650
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 |
|---|---|---|---|
| 12013772A | IN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1003542903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 B ST",
"city": "FORT RICHARDSON",
"state": "AK",
"postal_code": "995056650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 B ST",
"city": "FORT RICHARDSON",
"state": "AK",
"postal_code": "995056650",
"telephone_number": "907-384-2483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPREZ",
"first_name": "HAYDEN",
"middle_name": "ELIZABETH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-25",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12013772A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Richardson, AK
- Rocio Baquerizo, LPC,CS,NCC
- Bassett Army Community Hospital (TMC Richardson)
- Bassett Army Community Hospital (Usadc-Richardson)
- Benjamin J Belfiglio, D.D.S.
- Michael Tyler Colesar
- Mark Steven Evans, REGISTERED NURSE
- Christopher G Fearon, DMD
- John Aaron Foote, PA
- Janice Fulton, RN
- Maryellen Gordian, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.