Active NPI
Paul G. Haines II, D.D.S.
- Dentist
- Vinita, OK
National Provider Identifier
1467538561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5520
- Practice address
- 442606 East 250 Rd.
Vinita, OK 74301-0887 - Phone
- (918) 256-3392
- Fax
- (918) 256-4421
- NPI assigned
- Oct 31, 2006
- 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 | 5520 | OK | Primary |
Addresses
Primary practice location
442606 East 250 Rd.
Vinita, OK 74301-0887
Mailing address
PO Box 887
Vinita, OK 74301-0887
Phone (918) 256-3392
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 |
|---|---|---|---|
| 5520 | OK | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243296000000",
"number": "1467538561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 887",
"city": "VINITA",
"state": "OK",
"postal_code": "743010887",
"telephone_number": "918-256-3392",
"fax_number": "918-256-4421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "442606 EAST 250 RD.",
"city": "VINITA",
"state": "OK",
"postal_code": "743010887",
"telephone_number": "918-256-3392",
"fax_number": "918-256-4421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAINES",
"first_name": "PAUL",
"middle_name": "G.",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2009-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "5520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vinita, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.