NPIMap

Organization Active NPI

Haye Dental Group

  • General Practice Dentistry
  • Janesville, WI
National Provider Identifier
1376558106
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3949-015 Issued in WI
Legal business name
HAYE DENTAL GROUP
Practice address
107 N Crosby Ave
Janesville, WI 53548-3333
Phone
(608) 752-7931
Fax
(608) 752-4826
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Susan Marie Ostrander
Title
Manager
Phone
(608) 752-7931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 3949-015 WI Primary

Addresses

Primary practice location

107 N Crosby Ave
Janesville, WI 53548-3333

Mailing address

107 N Crosby Ave
Janesville, WI 53548-3333
Phone (608) 752-7931

National Provider Directory

National Provider Directory

Locations

107 N Crosby Ave
Janesville, WI 53548
Phone (608) 752-7931

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376558106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N CROSBY AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535483333",
            "telephone_number": "608-752-7931",
            "fax_number": "608-752-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N CROSBY AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535483333",
            "telephone_number": "608-752-7931",
            "fax_number": "608-752-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSTRANDER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "608-752-7931",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3949-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.