George Brooks Haney, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11812 Issued in TX

Practice address

2400 Lakeside Blvd
Suite 700
Richardson, TX 75082-4341

Phone

(972) 644-9595

Fax

(972) 644-9597

NPI assigned

Apr 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

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.

• Haney Dental PLLC

  • Dentist
  • Richardson, TX
  • NPI 1578801171
  NPD (past) Authorized official

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124245725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 LAKESIDE BLVD",
            "address_2": "SUITE 700",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824341",
            "telephone_number": "972-644-9595",
            "fax_number": "972-644-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LAKESIDE BLVD",
            "address_2": "SUITE 700",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824341",
            "telephone_number": "972-644-9595",
            "fax_number": "972-644-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEY",
        "first_name": "GEORGE",
        "middle_name": "BROOKS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Christine Hampton, M.A., LPC
• Paul B Handel, M.D.
• Hands of Peace Inc.
• Melissa R. Handy, CCC-SLP
• Haney Dental PLLC
• Jeweleve Haney
• Anthony Hang
• David T Hanks, PH.D.
• Marcie Ann Hansen-Bunch, D.D.S.
• Danielle M Hansen, MD

• General Practice Dentistry in Richardson, TX
• Providers in Richardson, TX by specialty
• General Practice Dentistry in Texas

• 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.

Verify at the official NPI Registry.