Theresa C. I. Hayward, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8389 Issued in KY

Practice address

309 N Wilson Rd
Radcliff, KY 40160-2194

Phone

(270) 352-4343

Fax

(270) 352-4373

NPI assigned

Feb 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Theresa C. Iwu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Dr. Errol Deveaux & Associates Family Dentistry, PSC

  • Dentist
  • Radcliff, KY
  • NPI 1043483100
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447398136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 DARBY WOODS CT",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401608604",
            "telephone_number": "502-445-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N WILSON RD",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602194",
            "telephone_number": "270-352-4343",
            "fax_number": "270-352-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYWARD",
        "first_name": "THERESA",
        "middle_name": "C. I.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "IWU",
            "middle_name": "C.",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tanner Martin Harp, DMD
• Jordan T Harris, MFTA
• Harvey and Nichols Radcliff PLLC
• Megan Haycraft, BS RBT
• Bethany Alexander Haynes, M.D.
• Janice Elaine Hebblethwaite, APRN
• Lauren Helton
• Bruce Hey, LCSW
• Kasandra Hogue, MSW, LCSW
• Holistic Wellness Co

• All providers in Radcliff, KY
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.