Richard Joseph Haley, DDS BA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16503 Issued in TX

Practice address

504 Hospital Dr Ste a
Carrizo Springs, TX 78834-3847

Phone

(830) 255-1684

Fax

(830) 255-1684

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

Locations

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.

• RJH Dental Group , PA

  • Dental Clinic/Center
  • Carrizo Springs, TX
  • NPI 1245768654
  NPD Authorized official

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1235161647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 HOSPITAL DR STE A",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788343847",
            "telephone_number": "830-255-1684",
            "fax_number": "830-255-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 HOSPITAL DR STE A",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788343847",
            "telephone_number": "830-255-1684",
            "fax_number": "830-255-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS BA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "16503",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresenius Medical Care San Antonio, LLC (Carrizo Springs Kidney Disease Clinic)
• Debra Lee Gonzalez, FNP-BC
• Michael Gonzalez
• Graceland Family Care PLLC
• H-E-B, LP (Heb Pharmacy #671)
• James T. Havalda, M.D.
• Juan Hernandez III
• Holy Savior Hospice LLC (Holy Savior Hospice)
• Hovah Healthcare P.a
• Ockju Jung, FNP

• General Practice Dentistry in Carrizo Springs, TX
• Providers in Carrizo Springs, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.