Active NPI
Craig Anthony Hayes Jr., D.D.S.
- Dentist
- Joplin, MO
National Provider Identifier
1306043575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2007014536
- Practice address
- 2509 S Jackson Ave
Joplin, MO 64804-1941 - Phone
- (417) 781-6466
- NPI assigned
- Jun 29, 2007
- 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 | 2007014536 | MO | Primary |
Addresses
Primary practice location
2509 S Jackson Ave
Joplin, MO 64804-1941
Mailing address
2509 S Jackson Ave
Joplin, MO 64804-1941
Phone (417) 781-6466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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 |
|---|---|---|---|---|
| I20170321000727 | MO | Order and Referring Only - Oral Surgery | 3476838194 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308873600000",
"number": "1306043575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2509 S JACKSON AVE",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648041941",
"telephone_number": "417-781-6466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2509 S JACKSON AVE",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648041941",
"telephone_number": "417-781-6466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "CRAIG",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2011-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2007014536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.