Amy Hazelwood, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00202756 Issued in CO

Practice address

535 W South Boulder Rd
Suite 200
Lafayette, CO 80026-2097

Phone

(260) 336-4220

NPI assigned

Feb 17, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1457710568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S LAFAYETTE DR",
            "address_2": "212",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263581",
            "telephone_number": "618-420-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 W SOUTH BOULDER RD",
            "address_2": "SUITE 200",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262097",
            "telephone_number": "260-336-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZELWOOD",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2016000785",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00202756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David S Haukeness, MD
• Alexander Gregory Hayden, MD
• Curtis J. Hayes, D.D.S.
• Kate Demling Hayes, L.C.S.W.
• Kathy Haymes
• Healthone Clinic Services - Orthopedic Specialists LLC
• Healthone Clinic Services - Pediatric Specialties LLC
• Heather L. Fliege, M.D., P.C.
• Joseph B Heaton
• Leslee Susan Hecht

• General Practice Dentistry in Lafayette, CO
• Providers in Lafayette, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.