Active NPI
Cody Shawn Hayden, DMD
- Dentist
- West Columbia, SC
National Provider Identifier
1275226532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DGD.10499
- Practice address
- 2265 Augusta Rd
West Columbia, SC 29169-4523 - Phone
- (803) 645-6378
- NPI assigned
- Jun 1, 2023
- Last updated
- Jun 1, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DGD.10499 | SC | Primary |
Addresses
Primary practice location
2265 Augusta Rd
West Columbia, SC 29169-4523
Mailing address
316 Chetsley Dr
Lexington, SC 29073-9813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230721003456 | SC | Order and Referring Only - Dentist | 8325408313 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DGD.10499 | SC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1275226532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 CHETSLEY DR",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290739813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2265 AUGUSTA RD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291694523",
"telephone_number": "803-645-6378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYDEN",
"first_name": "CODY",
"middle_name": "SHAWN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-01",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "DGD.10499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.