Hairston Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

WV4152 Issued in WV

Legal business name

HAIRSTON FAMILY DENTISTRY

Practice address

255 Washington St
Ravenswood, WV 26164-1874

Phone

(304) 273-5301

NPI assigned

Mar 9, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Leah Rae Hairston, DDS

Title

Owner Dentist

Phone

(304) 542-7860

Specialties & licenses 1

Addresses

Practitioners 1

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

• Christen Simpson Raynes, DDS, MBA

  • General Practice Dentistry
  • Charleston, WV
  • NPI 1336222116
  NPD (past)

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1407397516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WASHINGTON ST",
            "city": "RAVENSWOOD",
            "state": "WV",
            "postal_code": "261641874",
            "telephone_number": "304-273-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 WASHINGTON ST",
            "city": "RAVENSWOOD",
            "state": "WV",
            "postal_code": "261641874",
            "telephone_number": "304-273-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIRSTON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "HAIRSTON",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "304-542-7860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "WV4152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joann Goff
• Sherry Good, LPTA
• Jacqueline Goodnight
• Scott Gordon, MD
• Ronald E Greer II, MD
• Gretchen Lynn Hammond, CNP
• Caitlin Harris, RDN
• Jessica Christina Haynes, PRSS
• Carolyn Heath
• Robert A Hess, M.D.

• General Practice Dentistry in Ravenswood, WV
• Providers in Ravenswood, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.