Active NPI
Tracy Lynn Hayton, RDH
- Dental Hygienist
- Kenova, WV
National Provider Identifier
1396814869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 1552
- Practice address
- 1702 Oak St
Kenova, WV 25530-1120 - Phone
- (304) 453-6765
- Fax
- (304) 453-1695
- NPI assigned
- Nov 7, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 1552 | WV | Primary |
Addresses
Primary practice location
1702 Oak St
Kenova, WV 25530-1120
Mailing address
896 Buffalo Creek Rd
Huntington, WV 25704-9619
Phone (304) 429-7326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1552 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas L Tyree DDS Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Kenova, WV
- NPI 1376612887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396814869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "896 BUFFALO CREEK RD",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257049619",
"telephone_number": "304-429-7326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1702 OAK ST",
"city": "KENOVA",
"state": "WV",
"postal_code": "255301120",
"telephone_number": "304-453-6765",
"fax_number": "304-453-1695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYTON",
"first_name": "TRACY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WV",
"license": "1552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenova, WV
Sources for this page
- 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.