Active NPI
Carter Hayes, DDS
- General Practice Dentistry
- Southlake, TX
National Provider Identifier
1164902177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 34531
- Practice address
- 2379 N Carroll Ave
Southlake, TX 76092-3103 - Phone
- (817) 488-7512
- NPI assigned
- Aug 19, 2018
- 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 | 34531 | TX | Primary |
Addresses
Primary practice location
2379 N Carroll Ave
Southlake, TX 76092-3103
Mailing address
31 Timbergreen Cir
Denton, TX 76205-8578
Phone (325) 260-3492
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34531 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stone Creek Dental PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Denton, TX
- NPI 1891973111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1164902177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 TIMBERGREEN CIR",
"city": "DENTON",
"state": "TX",
"postal_code": "762058578",
"telephone_number": "325-260-3492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2379 N CARROLL AVE",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760923103",
"telephone_number": "817-488-7512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "CARTER",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-19",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "34531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southlake, TX
- Stacey L Hatcher, M.D.
- Michelle Hatley, PT
- Regan Marie Hatwig
- Haylee Rebecca Hauser, PA-C
- Haven Dental of Southlake, PLLC
- Rebecca Nealey Haynes, M.S. CCC-SLP
- HCS Services of Texas, Inc. (HCS Services of Texas)
- Healing Care Hospice Inc
- Health Imaging Partners, LLC (Dba Envision Imaging at South Lake)
- Health Matters Primary Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.