Active NPI
Christopher R Hastings, D.D.S.
- General Practice Dentistry
- Kyle, TX
National Provider Identifier
1104912229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 16713
- Practice address
- 2810 Dacy LN
Kyle, TX 78640-6322 - Phone
- (512) 268-8900
- Fax
- (512) 268-2250
- NPI assigned
- Oct 5, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 16713 | TX | Primary |
Addresses
Primary practice location
2810 Dacy LN
Kyle, TX 78640-6322
Mailing address
3066 E Commerce St
San Antonio, TX 78220-1013
Phone (210) 233-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 342998701 | Medicaid | TX |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16713 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1104912229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3066 E COMMERCE ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782201013",
"telephone_number": "210-233-7000",
"fax_number": "210-277-6387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 DACY LN",
"city": "KYLE",
"state": "TX",
"postal_code": "786406322",
"telephone_number": "512-268-8900",
"fax_number": "512-268-2250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASTINGS",
"first_name": "CHRISTOPHER",
"middle_name": "R",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "16713",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "342998701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.