NPIMap

Organization Active NPI

Haygood Dental Care, LLC

  • Dentist
  • Bossier City, LA
National Provider Identifier
1134436975
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5334 Issued in LA
Legal business name
HAYGOOD DENTAL CARE, LLC
Practice address
1519 Doctors Dr Ste 1
Bossier City, LA 71111-3676
Phone
(318) 741-6778
Fax
(318) 741-6778
NPI assigned
Aug 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Authorized official

Name
Dr. Christopher Ryan Haygood, D.D.S.
Title
Dentist
Phone
(318) 741-6778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 5334 LA Primary

Addresses

Primary practice location

1519 Doctors Dr Ste 1
Bossier City, LA 71111-3676

Mailing address

1519 Doctors Dr Ste 1
Bossier City, LA 71111-3676
Phone (318) 741-6778

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1134436975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 DOCTORS DR STE 1",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113676",
            "telephone_number": "318-741-6778",
            "fax_number": "318-741-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 DOCTORS DR STE 1",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113676",
            "telephone_number": "318-741-6778",
            "fax_number": "318-741-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYGOOD DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "HAYGOOD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "318-741-6778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "5334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.