Individual provider Active NPI

Shauna Danielle Hayes, DMD

  • General Practice Dentistry
  • Arroyo Grande, CA
National Provider Identifier
1457545055
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
59284 Issued in CA
Practice address
116 N Halcyon Rd
Arroyo Grande, CA 93420-2523
Phone
(805) 481-0800
Fax
(805) 481-0801
NPI assigned
Aug 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 59284 CA Primary

Addresses

Primary practice location

116 N Halcyon Rd
Arroyo Grande, CA 93420-2523

Mailing address

116 N Halcyon Rd
Arroyo Grande, CA 93420-2523
Phone (805) 481-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160222000841 CA Order and Referring Only - DentistPractitioner - Dentist 1850696345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1457545055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N HALCYON RD",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934202523",
            "telephone_number": "805-481-0800",
            "fax_number": "805-481-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N HALCYON RD",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934202523",
            "telephone_number": "805-481-0800",
            "fax_number": "805-481-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "SHAUNA",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo Grande, CA

Sources for this page

Verify at the official NPI Registry.