Clinton Hyatt, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25554 Issued in TX

Legal business name

CLINTON HYATT, DDS, PC

Doing business as

Hyatt Family Dental

Practice address

8711 Bedford Euless Rd
Hurst, TX 76053-3851

Phone

(817) 589-0496

NPI assigned

Jul 22, 2011

Last updated

Jul 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clinton Hyatt, DDSNPI 1578874525

Title

Owner

Phone

(817) 589-0496

Specialties & licenses 1

Addresses

Other names 1

• Hyatt Family Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clinton Yardley Hyatt, D.D.S.

  • General Practice Dentistry
  • Hurst, TX
  • NPI 1578874525
  Authorized official Same address or phone

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1407134539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 BEDFORD EULESS RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760533851",
            "telephone_number": "817-589-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8711 BEDFORD EULESS RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760533851",
            "telephone_number": "817-589-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON HYATT, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "HYATT",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-589-0496",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hyatt Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Clark, D.O.
• Sarah Elizabeth Clark, CPM, LM
• Isael Claudio, COTA
• Iliana Claveria, PTA
• Brandy Clydene Clegg
• Roshara Clough, COTA
• Jan D Cochrum, M.D.
• Kesli Coffelt, OTR
• Allison R Cohen, D.C., CCSP
• Amanda Colbert

• General Practice Dentistry in Hurst, TX
• Providers in Hurst, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.