Hayley Elizabeth Dewalder, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3674 Issued in WV

Practice address

1226 Ohio Ave
Dunbar, WV 25064-3020

Phone

(304) 768-5616

Fax

(304) 768-5617

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bridget B Stevens,DDS,Inc

  • General Practice Dentistry
  • Dunbar, WV
  • NPI 1881949840
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1083708804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 OHIO AVE",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250643020",
            "telephone_number": "304-768-5616",
            "fax_number": "304-768-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 OHIO AVE",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250643020",
            "telephone_number": "304-768-5616",
            "fax_number": "304-768-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWALDER",
        "first_name": "HAYLEY",
        "middle_name": "ELIZABETH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "8236",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan O'Neal Davis
• Dayspring Counseling Center, Inc
• David Michael De Vere
• Tannor Ray Decker
• Coty Ray Dennler, COTA/L
• Sherry Dinicola
• Dunbar Eye Associates, PLLC
• Dunbar Medical Associates PLLC
• Dunbar Physical Therapy LLC
• Dunbar Therapy Center, LLC

• General Practice Dentistry in Dunbar, WV
• Providers in Dunbar, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.