Active NPI
Darrell Hayes
- Dentist
- Summerville, SC
National Provider Identifier
1447650577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS0000009862
- Practice address
- 1724 State Rd Unit 4D
Summerville, SC 29486-2842 - Phone
- (843) 376-4157
- NPI assigned
- Aug 26, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS0000009862 | TN | Primary |
Addresses
Primary practice location
1724 State Rd Unit 4D
Summerville, SC 29486-2842
Mailing address
5005 N Piedras St
Dentac
El Paso, TX 79920-5001
Phone (915) 742-6084
Other practice location 1
5005 N Piedras St
Dentac
El Paso, TX 79920-5001
Phone (915) 742-6084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS0000009862 | TN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hayes Dental LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Mount Pleasant, SC
- NPI 1023692530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538438400000",
"number": "1447650577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5005 N PIEDRAS ST",
"address_2": "DENTAC",
"city": "EL PASO",
"state": "TX",
"postal_code": "799205001",
"telephone_number": "915-742-6084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 STATE RD UNIT 4D",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294862842",
"telephone_number": "843-376-4157"
}
],
"practiceLocations": [
{
"address_1": "5005 N Piedras St",
"address_2": "DENTAC",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799205001",
"country_code": "US",
"telephone_number": "915-742-6084",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYES",
"first_name": "DARRELL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-26",
"last_updated": "2018-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS0000009862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.