Active NPI
Stan Hayes, DMD
- Dentist
- Eastern, KY
National Provider Identifier
1396883294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5992
- Practice address
- 292 Highway 550
Eastern, KY 41622 - Phone
- (606) 358-4157
- Fax
- (606) 358-4157
- NPI assigned
- Feb 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 5992 | KY | Primary |
Addresses
Primary practice location
292 Highway 550
Eastern, KY 41622
Mailing address
PO Box 200
Eastern, KY 41622
Phone (606) 358-4157
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60059920 | Medicaid | KY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396883294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 200",
"city": "EASTERN",
"state": "KY",
"postal_code": "41622",
"telephone_number": "606-358-4157",
"fax_number": "606-358-4157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "292 HIGHWAY 550",
"city": "EASTERN",
"state": "KY",
"postal_code": "41622",
"telephone_number": "606-358-4157",
"fax_number": "606-358-4157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "STAN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "5992",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60059920",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eastern, KY
- Big Sandy Health Care, Inc (Duff-Allen Central Elementary School)
- Floyd County Board of Education
- Floyd County Health Department
- Floyd County Health Department
- Floyd County Health Department
- Howard Family Pharmacy Inc
- Howard Family Pharmacy, Inc.
- Wesley Wayne Howard, PHARM.D.
- Tiffany Jacobs, PHARMD
- Ohio Valley Physicians Inc (OVP Health)
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.