Robert Earl Russell Hawley, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

TX12118 Issued in TX

Practice address

2423 Barrow Street
Abilene, TX 79605

Phone

(325) 692-0565

Fax

(325) 692-5330

NPI assigned

Jul 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023035458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 BARROW STREET",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79605",
            "telephone_number": "325-692-0565",
            "fax_number": "325-692-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 BARROW STREET",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79605",
            "telephone_number": "325-692-0565",
            "fax_number": "325-692-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWLEY",
        "first_name": "ROBERT EARL",
        "middle_name": "RUSSELL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "TX12118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST BOARD OF DENTAL EXAMIN",
            "identifier": "TX12118",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Haught, MA, LPC
• Morgan Madison-Elizabeth Havlik
• Brandon Hawk, L.A.T., A.T.C.
• Jacinda Hawkins
• Jonathan P Hawley, DDS, MS
• Bonnie Hong Hayashi, M.D
• Rachel Nichole Haynes
• William C. Haynes, M.D.
• Kaci K Hayworth
• Corynn M Hazard, M.S., LPC

• Prosthodontics in Abilene, TX
• Providers in Abilene, TX by specialty
• Prosthodontics in Texas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.