Joshua Haycock, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN015044 Issued in GA

Practice address

1862 Auburn Rd Ste 103
Dacula, GA 30019-1677

Phone

(678) 804-8818

NPI assigned

Jul 16, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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 and National Provider Directory roles.

• Jeffrey Bryce Carter DDS LLC

  • Dental Clinic/Center
  • Loganville, GA
  • NPI 1881448561
  NPD (past)

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1376927665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1862 AUBURN RD STE 103",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191677",
            "telephone_number": "678-804-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1862 AUBURN RD STE 103",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191677",
            "telephone_number": "678-804-8818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4460 Atlanta Hwy",
            "address_purpose": "LOCATION",
            "city": "Loganville",
            "state": "GA",
            "postal_code": "300527465",
            "country_code": "US",
            "telephone_number": "770-554-3700",
            "fax_number": "770-554-3715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYCOCK",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-16",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dezirae Hatchell, LPC
• Alan Barry Hatcher, D.D.S.
• Steven Ray Hatfield, DPT ATC
• Morgan Hatley, OTR
• Kimberly Hawthorne, LCSW
• Renee Angela Hayes
• Angela Head, MED, CCC-SLP
• Nkayla Headen
• Heart & Hands Home Health LLC
• Heart 2 Hands Kare LLC

• Dentist in Dacula, GA
• Providers in Dacula, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.