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
- Last updated
- Oct 2, 2018
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.