Active NPI
Kaleb Haley, DDS
- Dentist
- Elizabethton, TN
National Provider Identifier
1063345247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13079
- Practice address
- 208 Parkway Blvd
Elizabethton, TN 37643-2845 - Phone
- (423) 543-6444
- NPI assigned
- Jun 5, 2026
- 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 | 13079 | TN | Primary |
Addresses
Primary practice location
208 Parkway Blvd
Elizabethton, TN 37643-2845
Mailing address
208 Parkway Blvd
Elizabethton, TN 37643-2845
Phone (423) 543-6444
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1063345247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 PARKWAY BLVD",
"city": "ELIZABETHTON",
"state": "TN",
"postal_code": "376432845",
"telephone_number": "423-543-6444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 PARKWAY BLVD",
"city": "ELIZABETHTON",
"state": "TN",
"postal_code": "376432845",
"telephone_number": "423-543-6444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALEY",
"first_name": "KALEB",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-05",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "13079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabethton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.