Hayjack Industries

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13104 Issued in TX

Legal business name

HAYJACK INDUSTRIES

Practice address

3740 S University Dr
Suite 203
Fort Worth, TX 76109-3700

Phone

(817) 924-0223

NPI assigned

Oct 17, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Kevin L Haywood

Title

President

Phone

(817) 924-0223

Specialties & licenses 1

Addresses

Other names 1

• Gentle Dental Doing business as

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1235533456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 S UNIVERSITY DR",
            "address_2": "SUITE 203",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761093700",
            "telephone_number": "817-924-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 S UNIVERSITY DR",
            "address_2": "SUITE 203",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761093700",
            "telephone_number": "817-924-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYJACK INDUSTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-924-0223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Hayes, LPC
• Martha Hayes
• Timothy Alden Hayes, R.PH.
• Vernon J Hayes, DO
• William Brendan Hayes, MD
• Caroline Hayles Brooks, RN
• Heather Lynn Haymowicz, M.S.
• Amanda Lee Haynes
• Corey Emanuel Haynes
• Danielle Revee Haynes

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, 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 Oct 17, 2014; 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.