Jimmie A Haynes, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

3675 Issued in NC

Practice address

407 Tiffany Dr
Sanford, NC 27330

Phone

(919) 774-6311

Fax

(919) 775-4115

NPI assigned

Sep 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lane & Associates X DDS PA

  • General Practice Dentistry
  • Sanford, NC
  • NPI 1154475036
  NPD (past)
• Lane and Associates V, DDS PA

  • General Practice Dentistry
  • Erwin, NC
  • NPI 1275685844
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376644187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 GREENWOOD RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27514",
            "telephone_number": "919-929-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 TIFFANY DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "27330",
            "telephone_number": "919-774-6311",
            "fax_number": "919-775-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "JIMMIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "3675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8993718",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hanna Batten Harrison, PT, DPT
• Michael Barron Harrison, NP
• Bettina Mason Hartgrove, PHARMD
• Harvey Lane Harris Jr DDS PLLC
• Amanda Ferguson Haveman, PHARMD
• Patricia Ann Hays, LISW-CP
• Healthstat Onsite Clinic Parkdale Plant 29
• Holly Healy
• Denise Teachey Hedrick
• Helping Hand Clinic

• Dentist in Sanford, NC
• Providers in Sanford, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.