Active NPI
Rege William Hastings, DDS
- Dentist
- Rocky Ford, CO
National Provider Identifier
1033279229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 532
- Practice address
- 903 S 12TH St
Rocky Ford, CO 81067-2127 - Phone
- (719) 254-7623
- Fax
- (719) 254-5112
- NPI assigned
- Dec 11, 2006
- 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 | 532 | CO | Primary |
Addresses
Primary practice location
903 S 12TH St
Rocky Ford, CO 81067-2127
Mailing address
128 Market St
Alamosa, CO 81101-2290
Phone (719) 589-5161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150618001006 | CO | Order and Referring Only - Dentist | 0648270736 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033279229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 MARKET ST",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811012290",
"telephone_number": "719-589-5161",
"fax_number": "719-589-5722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 S 12TH ST",
"city": "ROCKY FORD",
"state": "CO",
"postal_code": "810672127",
"telephone_number": "719-254-7623",
"fax_number": "719-254-5112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASTINGS",
"first_name": "REGE",
"middle_name": "WILLIAM",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Ford, CO
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.