NPIMap

Organization Active NPI

Bryan D. Haynes DDS Inc

  • Dental Clinic/Center
  • Emeryville, CA
National Provider Identifier
1417014226
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
031066 Issued in CA
Legal business name
BRYAN D. HAYNES DDS INC
Practice address
1249 Powell St
Emeryville, CA 94608-2604
Phone
(510) 652-3070
Fax
(510) 652-0387
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Authorized official

Name
Dr. Bryan D. HaynesNPI 1598128373
Title
Dentist
Phone
(510) 652-3070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 031066 CA Primary

Addresses

Primary practice location

1249 Powell St
Emeryville, CA 94608-2604

Mailing address

1249 Powell St
Emeryville, CA 94608-2604
Phone (510) 652-3070

National Provider Directory

National Provider Directory

Locations

1249 Powell St
Emeryville, CA 94608
Phone (510) 652-3070

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": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1417014226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 POWELL ST",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082604",
            "telephone_number": "510-652-3070",
            "fax_number": "510-652-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 POWELL ST",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082604",
            "telephone_number": "510-652-3070",
            "fax_number": "510-652-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN D. HAYNES DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "510-652-3070",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "031066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emeryville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.