Active NPI
Kyler Baxter Hayes, DDS
- Dentist
- Boston, MA
National Provider Identifier
1316677750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1859847
- Practice address
- 188 Longwood Ave
Boston, MA 02115-5888 - Phone
- (617) 432-1434
- Fax
- (617) 432-4258
- NPI assigned
- Jun 16, 2022
- Sex
- Male
- Sole proprietor
- No
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 | DN1859847 | MA | Primary |
Addresses
Primary practice location
188 Longwood Ave
Boston, MA 02115-5888
Mailing address
13204 E 23Rd Ave
Spokane Valley, WA 99216-0411
Phone (509) 496-3494
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://hsdm.harvard.edu/harvard-dental-center | ||
| Other URL | https://hsdm.harvard.edu/harvard-dental-center |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1859847 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1316677750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13204 E 23RD AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992160411",
"telephone_number": "509-496-3494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 LONGWOOD AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155888",
"telephone_number": "617-432-1434",
"fax_number": "617-432-4258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "KYLER",
"middle_name": "BAXTER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-16",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1859847",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://hsdm.harvard.edu/harvard-dental-center",
"affiliation": "N",
"address_1": "188 Longwood Ave",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "021155888",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://hsdm.harvard.edu/harvard-dental-center",
"affiliation": "N",
"address_1": "188 Longwood Ave",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "021155888",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.