Active NPI
C. Dexter Hayes, MD, PC
- Family Medicine Physician
- Cottonwood, AZ
National Provider Identifier
1215021431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20821
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146599 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
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.