Active NPI
Scott Charles Haney, D.D.S
- General Practice Dentistry
- Yuma, AZ
National Provider Identifier
1073515417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9482
- Practice address
- 1175 Hart St.
McAs Yuma Branch Dental Clinic
Yuma, AZ 85369 - Phone
- (928) 269-2353
- NPI assigned
- Aug 15, 2005
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9482 | MD | Primary |
Addresses
Primary practice location
1175 Hart St.
McAs Yuma Branch Dental Clinic
Yuma, AZ 85369
Mailing address
12367 E del Rico
Yuma, AZ 85367-7364
Phone (928) 345-9598
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 |
|---|---|---|---|
| 9482 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233792000000",
"number": "1073515417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12367 E DEL RICO",
"city": "YUMA",
"state": "AZ",
"postal_code": "853677364",
"telephone_number": "928-345-9598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 HART ST.",
"address_2": "MCAS YUMA BRANCH DENTAL CLINIC",
"city": "YUMA",
"state": "AZ",
"postal_code": "85369",
"telephone_number": "928-269-2353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANEY",
"first_name": "SCOTT",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2009-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "9482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.