Leah Rae Hairston, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4152 Issued in WV

Practice address

112 Lee St W
Charleston, WV 25302-2342

Phone

(304) 342-0146

NPI assigned

Jun 3, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Bowen & Bowen, PLLC

  • General Practice Dentistry
  • Charleston, WV
  • NPI 1508042235
  NPD (past)

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1326428558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LEE ST W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253022342",
            "telephone_number": "304-342-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LEE ST W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253022342",
            "telephone_number": "304-342-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIRSTON",
        "first_name": "LEAH",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "4152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005399",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audrana Hairston
• Judith Hairston
• Karina Hairston
• Kendall Emerson Hairston
• Latoya Hairston
• Phyllis Hairston
• Reginald Hairston Jr.
• Yasheika Hairston
• Said Hajouli
• Nariman A Halabi, MD

• General Practice Dentistry in Charleston, WV
• Providers in Charleston, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.