NPIMap

Organization Active NPI

Samuel Hayatt DMD, Inc.

  • General Practice Dentistry
  • El Cajon, CA
National Provider Identifier
1407273139
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55781 Issued in CA
Legal business name
SAMUEL HAYATT DMD, INC.
Practice address
1530 Hilton Head Rd Ste 111
El Cajon, CA 92019-4655
Phone
(619) 441-8000
Fax
(619) 441-8012
NPI assigned
Mar 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Ms. Mayra Martinez, MBA
Title
Practice Manager
Phone
(619) 428-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 55781 CA Primary

Addresses

Primary practice location

1530 Hilton Head Rd Ste 111
El Cajon, CA 92019-4655

Mailing address

1530 Hilton Head Rd Ste 111
El Cajon, CA 92019-4655
Phone (619) 441-8000

National Provider Directory

National Provider Directory
Tax ID family
Samuel Hayatt DMD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1530 Hilton Head Rd
Ste 111
El Cajon, CA 92019
Phone (619) 441-8000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1407273139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 HILTON HEAD RD STE 111",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920194655",
            "telephone_number": "619-441-8000",
            "fax_number": "619-441-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 HILTON HEAD RD STE 111",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920194655",
            "telephone_number": "619-441-8000",
            "fax_number": "619-441-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL HAYATT DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "619-428-5555",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.