Organization Active NPI

C. Dexter Hayes, MD, PC

  • Family Medicine Physician
  • Cottonwood, AZ
National Provider Identifier
1215021431
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20821 Issued in AZ
Legal business name
C. DEXTER HAYES, MD, PC
Practice address
115 S Candy LN
Suite B2
Cottonwood, AZ 86326-4105
Phone
(928) 649-0649
Fax
(928) 649-0486
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carol Dexter Hayes, MD
Title
Owner
Phone
(928) 649-0649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20821 AZ Primary

Addresses

Primary practice location

115 S Candy LN
Suite B2
Cottonwood, AZ 86326-4105

Mailing address

115 S Candy LN
Suite B2
Cottonwood, AZ 86326-4105
Phone (928) 649-0649

Other identifiers 1

IdentifierTypeStateIssuer
146599MedicaidAZ

National Provider Directory

National Provider Directory

Locations

115 S Candy Ln
Ste B2
Cottonwood, AZ 86326
Phone (520) 649-0649

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215021431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S CANDY LN",
            "address_2": "SUITE B2",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264105",
            "telephone_number": "928-649-0649",
            "fax_number": "928-649-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S CANDY LN",
            "address_2": "SUITE B2",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264105",
            "telephone_number": "928-649-0649",
            "fax_number": "928-649-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. DEXTER HAYES, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CAROL DEXTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-649-0649",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "20821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146599",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.