Organization Active NPI

Richard a Haimes DDS, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Bay Shore, NY
National Provider Identifier
1144489121
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
031996 Issued in NY
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

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Dr. Richard A Haimes, DDSNPI 1588706246
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)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
5744OtherNYFIDELIS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.