Haywood Lee Hambrick, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

012136591 Issued in MO

Practice address

1115 East 65TH St
Kansas City, MO 64131-1202

Phone

(816) 523-7766

Fax

(816) 523-2263

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Haywood L Hambrick, D.D.S. Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kansas City, MO
  • NPI 1790950582
  NPD (past) Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1447386206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 EAST 65TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311202",
            "telephone_number": "816-523-7766",
            "fax_number": "816-523-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 EAST 65TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311202",
            "telephone_number": "816-523-7766",
            "fax_number": "816-523-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBRICK",
        "first_name": "HAYWOOD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "012136591",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "012136591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DURAL",
            "identifier": "2181",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400750402",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00759025",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hamaker
• Qais Hamarsha
• Majdi Hamarshi, MD
• Alan Hamblen
• Allen J Hamblin, DO
• Marchall Rena Hambrick, C.O.T.A./L
• Mitchell S. Hamburg, M.D.
• Destiny Hamchaoui, APRN, FNP-C
• Hana A Hamdan, M.B.B.S.
• Penny L Hamdi, NP-C

• Orthodontics and Dentofacial Orthopedics Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.