Kay E Hawksford, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2978 Issued in WI

Practice address

15541 Highway 77 E
Hayward, WI 54843

Phone

(715) 634-6776

Fax

(715) 634-5859

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

No

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 WI

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

State licenses

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.

• Hawksford-Larson Dental Care, LLC

  • General Practice Dentistry
  • Hayward, WI
  • NPI 1700954047
  NPD (past) Authorized official
• Hawksford Dental Care, LLC

  • Dental Clinic/Center
  • Hayward, WI
  • NPI 1275112013
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215007190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 767",
            "address_2": "15541 HIGHWAY 77 E",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "54843",
            "telephone_number": "715-634-6776",
            "fax_number": "715-634-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15541 HIGHWAY 77 E",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "54843",
            "telephone_number": "715-634-6776",
            "fax_number": "715-634-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKSFORD",
        "first_name": "KAY",
        "middle_name": "E",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "2978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Anne Harrington, RN
• Cynthia M. Hart, MD
• Sasha N Harvey, HIS
• Hawksford Dental Care, LLC
• Hawksford-Larson Dental Care, LLC
• Hayward Community School District
• Hayward Family Dentistry SC
• Hayward Family Eye Care, Inc
• Beth Heinz, OD
• Angela Heredia, MS LPC

• Dentist in Hayward, WI
• Providers in Hayward, WI by specialty
• Dentist in Wisconsin

• 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.