Organization Active NPI

Hayes Family Dentistry

  • General Practice Dentistry
  • Cookeville, TN
National Provider Identifier
1376695304
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
TN4687 Issued in TN
Legal business name
HAYES FAMILY DENTISTRY
Practice address
620 E 10TH Street
Cookeville, TN 38501-1810
Phone
(931) 526-1614
Fax
(931) 525-1236
NPI assigned
Jan 18, 2007
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
D Kevin Hayes, DMD
Title
President
Phone
(931) 526-1614

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X TN4687 TN Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X TN4669 TN

Addresses

Primary practice location

620 E 10TH Street
Cookeville, TN 38501-1810

Mailing address

620 E 10TH Street
Cookeville, TN 38501-1810
Phone (931) 526-1614

National Provider Directory

National Provider Directory

Locations

620 E 10th St
Cookeville, TN 38501
Phone (931) 526-1614

Practitioners & affiliated clinicians

Practitioners 3

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376695304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E 10TH STREET",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011810",
            "telephone_number": "931-526-1614",
            "fax_number": "931-525-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E 10TH STREET",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011810",
            "telephone_number": "931-526-1614",
            "fax_number": "931-525-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYES FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "D",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-526-1614",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "TN4687",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "TN4669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

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.