Active NPI
Richard a Haimes DDS, PC
- Oral and Maxillofacial Surgery (Dentist)
- Bay Shore, NY
National Provider Identifier
1144489121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 031996
- Legal business name
- RICHARD A HAIMES DDS, PC
- Practice address
- 1991 Union Blvd
Bay Shore, NY 11706-7936 - Phone
- (631) 665-3131
- Fax
- (631) 665-0566
- NPI assigned
- Jun 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard A Haimes, DDS
- Title
- Oral Surgeon
- Phone
- (631) 665-3131
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 031996 | NY | Primary |
Addresses
Primary practice location
1991 Union Blvd
Bay Shore, NY 11706-7936
Mailing address
1991 Union Blvd
Bay Shore, NY 11706-7936
Phone (631) 665-3131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5744 | Other | NY | FIDELIS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Bay Shore, NY
- NPI 1588706246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212624000000",
"number": "1144489121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1991 UNION BLVD",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117067936",
"telephone_number": "631-665-3131",
"fax_number": "631-665-0566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1991 UNION BLVD",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117067936",
"telephone_number": "631-665-3131",
"fax_number": "631-665-0566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD A HAIMES DDS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-05",
"last_updated": "2008-06-05",
"status": "A",
"authorized_official_last_name": "HAIMES",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ORAL SURGEON",
"authorized_official_telephone_number": "631-665-3131",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "031996",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "5744",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.