Individual provider Active NPI

Scott Hayes

  • General Practice Dentistry
  • Mansfield, TX
National Provider Identifier
1346309226
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21507 Issued in TX
Practice address
717 N Holland Rd
Suite 120
Mansfield, TX 76063-9006
Phone
(682) 518-5003
Fax
(682) 518-0116
NPI assigned
Dec 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21507 TX Primary

Addresses

Primary practice location

717 N Holland Rd
Suite 120
Mansfield, TX 76063-9006

Mailing address

717 N Holland Rd
Suite 120
Mansfield, TX 76063-9006
Phone (682) 518-5003

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

LicenseStateTypeSpecialty
21507TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hayes General & Cosmetic Dentistry General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1346309226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 N HOLLAND RD",
            "address_2": "SUITE 120",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639006",
            "telephone_number": "682-518-5003",
            "fax_number": "682-518-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 N HOLLAND RD",
            "address_2": "SUITE 120",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639006",
            "telephone_number": "682-518-5003",
            "fax_number": "682-518-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.