Individual provider Active NPI

Daniel Steven Haley, DMD

  • General Practice Dentistry
  • Concord, NH
National Provider Identifier
1386104792
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
04570 Issued in NH
Practice address
5 Chenell Dr
Concord, NH 03301-8503
Phone
(603) 224-4200
NPI assigned
Mar 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 04570 NH Primary

Addresses

Primary practice location

5 Chenell Dr
Concord, NH 03301-8503

Mailing address

5 Chenell Dr
Concord, NH 03301-8503
Phone (603) 224-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190722000817 CT Order and Referring Only - DentistPractitioner - Dentist 6103152681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04570NHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel S Haley DMD PLLC General Practice CurrentSince May 21, 2023 Accepting new patients
Anthony J Ladds DDS PLLC General Practice PastSince May 21, 2023 Accepting new patients
JD Howard Dental, LLC General Practice PastSince Jun 1, 2021 Accepting new patients

Locations

5 Chenell Dr
Concord, NH 03301
Phone (603) 224-4200

Organizations & group practices 3

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": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1386104792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CHENELL DR",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033018503",
            "telephone_number": "603-224-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CHENELL DR",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033018503",
            "telephone_number": "603-224-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "DANIEL",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "04570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.